Evidence map›Paper›PMID 26286089›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2016

A validated, risk assessment tool for predicting readmission after open ventral hernia repair.

P A Baltodano, Y Webb-Vargas, K C Soares, C W Hicks, C M Cooney, P Cornell, K K Burce, T M Pawlik, F E Eckhauser

Registry-linked trialAbstract readValidation Study
PubMed Publisher
In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03424382 (CREATION Health Readmission Risk Assessment Tool), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT03424382 completednot on this mapstarted 2017, after this paper: background citation

CREATION Health Readmission Risk Assessment Tool

TypeobservationalSponsorAdventHealthRan2017 to 2019Enrolled1,218ConditionsHeart Failure, COPD, Myocardial Infarction, Coronary Artery Bypass Graft
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Unplanned readmissions after hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2023
    Article
  4. Article
  5. Preoperative anemia is a risk factor for poor perioperative outcomes in ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2022
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

P A BaltodanoRavitch Division of GI and Minimally Invasive Surgery, Department of Surgery, The Johns Hopkins University School of Medicine, Blalock 618, 600 N. Wolfe Street, Baltimore, MD, 21287, USA. baltodp@mail.amc.edu.
Y Webb-VargasDepartment of Biostatistics, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
K C SoaresRavitch Division of GI and Minimally Invasive Surgery, Department of Surgery, The Johns Hopkins University School of Medicine, Blalock 618, 600 N. Wolfe Street, Baltimore, MD, 21287, USA.
C W HicksRavitch Division of GI and Minimally Invasive Surgery, Department of Surgery, The Johns Hopkins University School of Medicine, Blalock 618, 600 N. Wolfe Street, Baltimore, MD, 21287, USA.
C M CooneyPlastic and Reconstructive Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
P CornellRavitch Division of GI and Minimally Invasive Surgery, Department of Surgery, The Johns Hopkins University School of Medicine, Blalock 618, 600 N. Wolfe Street, Baltimore, MD, 21287, USA.
K K BurceRavitch Division of GI and Minimally Invasive Surgery, Department of Surgery, The Johns Hopkins University School of Medicine, Blalock 618, 600 N. Wolfe Street, Baltimore, MD, 21287, USA.
T M PawlikRavitch Division of GI and Minimally Invasive Surgery, Department of Surgery, The Johns Hopkins University School of Medicine, Blalock 618, 600 N. Wolfe Street, Baltimore, MD, 21287, USA.
F E EckhauserRavitch Division of GI and Minimally Invasive Surgery, Department of Surgery, The Johns Hopkins University School of Medicine, Blalock 618, 600 N. Wolfe Street, Baltimore, MD, 21287, USA. feckhau2@jhmi.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background/purposeTo present a validated model that reliably predicts unplanned readmission after open ventral hernia repair (open-VHR). STUDY

designA total of 17,789 open-VHR patients were identified using the 2011-2012 ACS-NSQIP databases. This cohort was subdivided into 70 and 30% random testing and validation samples, respectively. Thirty-day unplanned readmission was defined as unexpected readmission for a postoperative occurrence related to the open-VHR procedure. Independent predictors of 30-day unplanned readmission were identified using multivariable logistic regression on the testing sample (n = 12,452 patients). Subsequently, the predictors were weighted according to β-coefficients to generate an integer-based Clinical Risk Score (CRS) predictive of readmission, which was validated using receiver operating characteristics (ROC) analysis of the validation sample (n = 5337 patients).

resultsThe rate of 30-day unplanned readmission was 4.7%. Independent risk factors included inpatient status at time of open-VHR, operation time, enterolysis, underweight, diabetes, preoperative anemia, length of stay, chronic obstructive pulmonary disease, history of bleeding disorders, hernia with gangrene, and panniculectomy (all P < 0.05). ROC analysis of the validation cohort rendered an area under the curve of 0.71, which demonstrates the accuracy of this prediction model. Predicted incidence within each 5 risk strata was statistically similar to the observed incidence in the validation sample (P = 0.18), further highlighting the accuracy of this model.

conclusionWe present a validated risk stratification tool for unplanned readmissions following open-VHR. Future studies should determine if implementation of our CRS optimizes safety and reduces readmission rates in open-VHR patients.

Indexed as

Risk AssessmentAdultAgedCohort StudiesDatabases, FactualFemaleHernia, VentralHerniorrhaphyHumansMaleMiddle AgedPatient ReadmissionRegistriesRetrospective StudiesRisk FactorsUnited StatesHospital readmissionIncisional herniaPrediction modelPrediction toolRisk assessmentVentral hernia

Identifiers

PMID26286089

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.