ArticleJournal of the American College of Surgeons2015
Definition of Readmission in 3,041 Patients Undergoing Hepatectomy.
Article in Journal of the American College of Surgeons, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Utility of models to predict 28-day or 30-day unplanned hospital readmissions: an updated systematic review.BMJ open · 2016Pooled it
- Evolution of Liver Resection for Hepatocellular Carcinoma: Change Point Analysis of Textbook Outcome over Twenty Years.Medicina (Kaunas, Lithuania) · 2024Article
- Predicting the risk of hospital readmissions using a machine learning approach: a case study on patients undergoing skin procedures.Frontiers in artificial intelligence · 2023Article
- Hyperglycemia-triggered ATF6-CHOP pathway aggravates acute inflammatory liver injury by β-catenin signaling.Cell death discovery · 2022Article
- Risk Factors for 30-Day Unplanned Readmission After Hepatectomy: Analysis of 438 Pediatric Patients from the ACS-NSQIP-P Database.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Anatomic Resection Is Not Required for Colorectal Liver Metastases with RAS Mutation.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020Article
- Comprehensive Complication Index Validates Improved Outcomes Over Time Despite Increased Complexity in 3707 Consecutive Hepatectomies.Annals of surgery · 2020Article
- Nationwide outcomes and costs of laparoscopic and robotic vs. open hepatectomy.Journal of robotic surgery · 2019Article
- Thirty days are inadequate for assessing readmission following complex hepatopancreatobiliary procedures.Surgical endoscopy · 2019Article
- Time to Readmission and Mortality Among Patients Undergoing Liver and Pancreatic Surgery.World journal of surgery · 2019Article
- Prognostic impact of perihepatic lymph node metastases in patients with resectable colorectal liver metastases.The British journal of surgery · 2018Article
- Operative and short-term oncologic outcomes of laparoscopic versus open liver resection for colorectal liver metastases located in the posterosuperior liver: a propensity score matching analysis.Surgical endoscopy · 2018Article
- Pathological diaphragmatic invasion by colorectal liver metastases is associated with RAS mutation, peritoneal recurrence and worse survival.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2018Article
- Timing and severity of post-discharge morbidity after hepatectomy.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2017Observational
- Role of Drain Placement in Major Hepatectomy: A NSQIP Analysis of Procedure-Targeted Hepatectomy Cases.World journal of surgery · 2017Article
- Rate of Organ Space Infection Is Reduced with the Use of an Air Leak Test During Major Hepatectomies.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017Article
- Hyperglycemia Aggravates Hepatic Ischemia Reperfusion Injury by Inducing Chronic Oxidative Stress and Inflammation.Oxidative medicine and cellular longevityArticle
Corrections and comments
- Commented on byDiscussion.2015
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
backgroundReadmission rates of 9.7% to 15.5% after hepatectomy have been reported. These rates are difficult to interpret due to variability in the time interval used to monitor readmission. The aim of this study was to refine the definition of readmission after hepatectomy. STUDY
designA prospectively maintained database of 3,041 patients who underwent hepatectomy from 1998 through 2013 was merged with the hospital registry to identify readmissions. Area under the curve (AUC) analysis was used to determine the time interval that best captured unplanned readmission.
resultsReadmission rates at 30 days, 90 days, and 1 year after discharge were 10.7% (n = 326), 17.3% (n = 526), and 31.9% (n = 971) respectively. The time interval that best accounted for unplanned readmissions was 45 days after discharge (AUC, 0.956; p < 0.001), during which 389 patients (12.8%) were readmitted (unplanned: n = 312 [10.3%]; planned: n = 77 [2.5%]). In comparison, the 30 days after surgery interval (used in the ACS-NSQIP database) omitted 65 (26.3%) unplanned readmissions. Multivariate analysis revealed the following risk factors for unplanned readmission: diabetes (odds ratio [OR] 1.6; p = 0.024), right hepatectomy (OR 2.1; p = 0.034), bile duct resection (OR 1.9; p = 0.034), abdominal complication (OR 1.8; p = 0.010), and a major postoperative complication (OR 2.4; p < 0.001). Neither index hospitalization > 7 days nor postoperative hepatobiliary complications were independently associated with readmission.
conclusionsTo accurately assess readmission after hepatectomy, patients should be monitored 45 days after discharge.
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