ArticleAnnals of surgery2017
Impact of Post-Hospital Syndrome on Outcomes Following Elective, Ambulatory Surgery.
Article in Annals of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
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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.
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
16 citing papers in PubMed, 32 citations in OpenAlex.
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- A Path to High-Value Gastric Cancer Surgery Care Delivery.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- The Impact of Hospital Exposures Prior to Total Knee Arthroplasty on Postoperative Outcomes.Arthroplasty today · 2023Article
- Same-Day Home Recovery for Benign Foregut Surgery.JAMA surgery · 2022Article
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- The Impact of Pre-Operative Healthcare Utilization on Complications, Readmissions, and Post-Operative Healthcare Utilization Following Total Joint Arthroplasty.The Journal of arthroplasty · 2022Article
- Therapeutic Strategies for Resectable Stage-IIIA N2 Non-Small Cell Lung Cancer Patients: A Network Meta-Analysis.Clinical Medicine Insights. Oncology · 2022Article
- Association of Post-discharge Service Types and Timing with 30-Day Readmissions, Length of Stay, and Costs.Journal of general internal medicine · 2021Article
- Article
- Perioperative Management of Elderly patients (PriME): recommendations from an Italian intersociety consensus.Aging clinical and experimental research · 2020Review
- Post-hospital syndrome predicts poor postoperative outcomes and increased cost following transvaginal midurethral sling placement.International urogynecology journal · 2020Article
- Post-Discharge Services for Different Diagnoses Than Index Hospitalization Predict Decreased 30-Day Readmissions Among Medicare Beneficiaries.Journal of general internal medicine · 2019Observational
- Thirty-day hospital revisits after prostate brachytherapy: who is at risk?Prostate international · 2019Article
- Effect of Posthospital Syndrome on Health Care Utilization After Abdominal Contouring Surgery.Annals of plastic surgery · 2018Article
- Factors associated with emergency room visits within 30 days of outpatient foot and ankle surgeries.Proceedings (Baylor University. Medical Center) · 2018Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveThe aim of this study was to investigate whether post-hospital syndrome (PHS) places patients undergoing elective hernia repair at increased risk for adverse postoperative events. SUMMARY OF BACKGROUND DATA: PHS is a transient period of health vulnerability following inpatient hospitalization for acute illness. PHS has been well studied in nonsurgical populations, but its effect on surgical outcomes is unclear.
methodsState-specific datasets for California in 2011 available through the Healthcare Cost and Utilization Project (HCUP) were linked. Patients older than 18 years who underwent elective hernia repair were included. The primary exposure variable was PHS, defined as any inpatient admission within 90 days of an elective hernia repair performed in an ambulatory surgery center. The primary outcome was an adverse event, defined as any unplanned emergency department visit or inpatient admission within 30 days postoperatively. Mixed-effects logistic models were used for multivariable analyses.
resultsA total of 57,988 patients met inclusion criteria. The 30-day risk-adjusted adverse event rate was significantly higher for PHS patients versus non-PHS patients (11.8% vs 5.8%, P < 0.001). PHS patients were more likely than non-PHS patients to experience postoperative complications (odds ratio 2.2, 95% confidence interval 1.6-3.0). Adverse events attributable to PHS cost an additional $63,533.46 per 100 cases in California. The risk of adverse events due to PHS remained elevated throughout the 90-day window between hospitalization and surgery.
conclusionsPatients hospitalized within 90 days of an elective surgery are at increased risk of adverse events postoperatively. The impact of PHS on outcomes is independent of baseline patient characteristics, medical comorbidities, quality of center performing the surgery, and reason for hospitalization before elective surgery. Adverse events owing to PHS are costly and represent a quality improvement target.
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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.