ArticleAmerican journal of surgery2014
Postdischarge complications are an important predictor of postoperative readmissions.
Article in American journal of surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Utilisation of Digital Applications for Measuring Patient Outcomes Following Bariatric Surgery: a Systematic Review and Meta-analysis of Comparative Studies.Obesity surgery · 2024Pooled it
- Trial
- Comparison of the Effect of SAMPE and ALDERTE Checklists on the Incidence of Complications After Discharge of Radical Prostatectomy Patients from the Post-anesthesia Care Unit (PACU).Anesthesiology and pain medicine · 2025Article
- Specialty-Specific Readmission Risk Models Outperform General Models in Estimating Hepatopancreatobiliary Surgery Readmission Risk.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Mobile devices and wearable technology for measuring patient outcomes after surgery: a systematic review.NPJ digital medicine · 2021Article
- Comparing Email, SMS, and Concurrent Mixed Modes Approaches to Capture Quality of Recovery in the Perioperative Period: Retrospective Longitudinal Cohort Study.JMIR formative research · 2021Article
- Impact of Gastrointestinal Surgical Site Wound Complications on Long-term Healthcare Utilization.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Readmission after antibiotic management of uncomplicated acute appendicitis in adults: prospective study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Enterocutaneous fistula after emergency general surgery: Mortality, readmission, and financial burden.The journal of trauma and acute care surgery · 2020Article
- Understanding unplanned readmissions for children undergoing surgery in a single pediatric general surgical department.BMC pediatrics · 2019Article
- Cohort study of risk factors for 30-day readmission after abdominal aortic aneurysm repair.VASA. Zeitschrift fur Gefasskrankheiten · 2019Article
- Impact of Patient Safety Indicators on readmission after abdominal aortic surgery.Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing · 2018Article
- Adaptation and Implementation of a Transitional Care Protocol for Patients Undergoing Complex Abdominal Surgery.Joint Commission journal on quality and patient safety · 2018Article
- Incidence, causes and risk factors for 30-day readmission after radical gastrectomy for gastric cancer: a retrospective study of 2,023 patients.Scientific reports · 2018Article
- Feasibility of an Image-Based Mobile Health Protocol for Postoperative Wound Monitoring.Journal of the American College of Surgeons · 2018Article
- Postoperative Complications: Looking Forward to a Safer Future.Clinics in colon and rectal surgery · 2016Review
- Readmission Following Gastric Cancer Resection: Risk Factors and Survival.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2016Article
- 30-Day readmission after bariatric surgery in a publicly funded regionalized center of excellence system.Surgical endoscopy · 2016Article
- Using Human Factors and Systems Engineering to Evaluate Readmission after Complex Surgery.Journal of the American College of Surgeons · 2015Article
- Peri-Operative Management of Older Adults with Cancer-The Roles of the Surgeon and Geriatrician.Cancers · 2015Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundThirty-day readmissions are common in general surgery patients and affect long-term outcomes including mortality. We sought to determine the effect of complication timing on postoperative readmissions.
methodsPatients from our institutional American College of Surgeons National Surgical Quality Improvement Project database who underwent general surgery procedures from 2006 to 2011 were included. The primary outcome of interest was 30-day hospital readmission.
resultsPatients diagnosed with postdischarge complications were significantly more likely to be readmitted (56%) compared with patients diagnosed with complications before discharge (7%, P < .001). Independent predictors of postdischarge complications included laparoscopic case, short hospital stay, preoperative dyspnea, and independent functional status. Gastrointestinal complications and surgical site infection were the most common reasons for readmission.
conclusionsThe development of complications after hospital discharge places patients at significant risk for readmission. Early identification and treatment of gastrointestinal complications and surgical site infections in the outpatient setting may decrease postoperative readmission rates.
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