Evidence map›Paper›PMID 30778702›Full record

ArticlePediatric surgery international2019

Readmission within 30 days of discharge (ReAd): a quality-of-care indicator in paediatric surgery.

Alice Louise Mears, May Bisharat, Feilim Murphy, Chandrasen K Sinha

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Article in Pediatric surgery international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

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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

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Alice Louise MearsDepartment of Urology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
May BisharatDepartment of Urology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Feilim MurphyDepartment of Paediatric Surgery, St George's University Hospitals NHS Foundation, Trust, London, UK.
Chandrasen K SinhaDepartment of Paediatric Surgery, St George's University Hospitals NHS Foundation, Trust, London, UK. cksinha11@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFollowing a previously published 1 year audit of readmissions, this is a reaudit of our readmission rate (ReAd) in paediatric surgery, asking: is ReAd reproducible, can it be an indicator of quality of care in paediatric surgery, and can it be improved?

methodProspectively collected Hospital Episode statistics were used to identify readmissions over 1 year. Patients were subdivided into emergency vs elective regarding the first admission and outcomes compared including with our previously published ReAd data.

results2616 children (67% male) were admitted during 2016: 1398 (53%) elective and 1218 (47%) emergency admissions. The overall ReAd was 0.9%, comparable to and lower than our previously published rate of 2%. The commonest cause for readmission was appendicitis-related (22%). The emergency cohort ReAd was 1.5% (18/1218) compared to 0.4% (5/1398) in the elective cohort, 4× higher (p = 0.002). In the emergency cohort, the commonest causes for readmission were abdominal pain and perforated appendicitis. 80% of elective group readmissions were related to urological procedures. More of these required surgical intervention to treat (80% vs 22%) (p = 0.03).

conclusion(1) ReAd is a reproducible and reducible quality-of-care indicator in paediatric surgery. (2) Emergency admission is a risk factor for readmission. (3) Appendicectomy was associated with the highest ReAd.

Indexed as

AdolescentChildChild, PreschoolCohort StudiesElective Surgical ProceduresEmergenciesFemaleHumansMalePatient DischargePatient ReadmissionPediatricsProspective StudiesQuality of Health CareReproducibility of ResultsRisk Factors30-Day readmissionPaediatric surgeryQuality-of-care indicatorReadmission

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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.