Evidence map›Paper›PMID 38911647›Full record

ArticleAnnals of surgery open : perspectives of surgical history, education, and clinical approaches2024

Risk Factors for Hospital Readmission Following Noncardiac Surgery: International Cohort Study.

Michael H McGillion, Flavia K Borges, David Conen, Daniel I Sessler, Brenda L Coleman, Maura Marcucci, Carley Ouellette, Marissa Bird, Carly Whitmore, Shaunattonie Henry and 20 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of surgery open : perspectives of surgical history, education, and clinical approaches, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00512109 (Vascular Events In Noncardiac Surgery Patients Cohort Evaluation), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT00512109 completednot on this map

Vascular Events In Noncardiac Surgery Patients Cohort Evaluation (VISION) Study

TypeobservationalSponsorMcMaster UniversityRan2007 to 2014Enrolled40,060ConditionsVascular Death, Myocardial Infarction, Cardiac Arrest, Stroke
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

30 authors.

Michael H McGillionFrom the School of Nursing, McMaster University, Hamilton, ON, Canada.
Flavia K BorgesPopulation Health Research Institute, Hamilton, ON, Canada.
David ConenPopulation Health Research Institute, Hamilton, ON, Canada.
Daniel I SesslerOutcomes Research Consortium, Cleveland Clinic, Cleveland, OH.
Brenda L ColemanSinai Health System, Toronto, ON, Canada.
Maura MarcucciPopulation Health Research Institute, Hamilton, ON, Canada.
Carley OuelletteFrom the School of Nursing, McMaster University, Hamilton, ON, Canada.
Marissa BirdFrom the School of Nursing, McMaster University, Hamilton, ON, Canada.
Carly WhitmoreFrom the School of Nursing, McMaster University, Hamilton, ON, Canada.
Shaunattonie HenryFrom the School of Nursing, McMaster University, Hamilton, ON, Canada.
Sandra OforiPopulation Health Research Institute, Hamilton, ON, Canada.
Shirley M PettitPopulation Health Research Institute, Hamilton, ON, Canada.
Deborah M BediniHamilton Health Sciences, Hamilton General Hospital, Hamilton, ON, Canada.
Leslie P GauthierHamilton Health Sciences, Juravinski Hospital, Hamilton, ON, Canada.
Jennifer LounsburyFrom the School of Nursing, McMaster University, Hamilton, ON, Canada.
Nancy M CarterFrom the School of Nursing, McMaster University, Hamilton, ON, Canada.
Vikas TandonSchool of Medicine, McMaster University, Hamilton, ON, Canada.
Ameen PatelSchool of Medicine, McMaster University, Hamilton, ON, Canada.
Teresa CafaroPopulation Health Research Institute, Hamilton, ON, Canada.
Marko R SimunovicHamilton Health Sciences, Juravinski Hospital, Hamilton, ON, Canada.
John A HarlockHamilton Health Sciences, Hamilton General Hospital, Hamilton, ON, Canada.
Diane Heels-AnsdellHealth Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
Fadi EliasDepartment of Surgery, McMaster University, Hamilton, ON, Canada.
Theodore RapanosDepartment of Surgery, McMaster University, Hamilton, ON, Canada.
Shawn ForbesHamilton Health Sciences, Juravinski Hospital, Hamilton, ON, Canada.
Elizabeth PeterBloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.
Judy Watt-WatsonBloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.
Kelly MetcalfeBloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.
Sandra L CarrollFrom the School of Nursing, McMaster University, Hamilton, ON, Canada.
Philip J DevereauxPopulation Health Research Institute, Hamilton, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To determine timing and risk factors associated with readmission within 30 days of discharge following noncardiac surgery. Background: Hospital readmission after noncardiac surgery is costly. Data on the drivers of readmission have largely been derived from single-center studies focused on a single surgical procedure with uncertainty regarding generalizability. Methods: We undertook an international (28 centers, 14 countries) prospective cohort study of a representative sample of adults ≥45 years of age who underwent noncardiac surgery. Risk factors for readmission were assessed using Cox regression (ClinicalTrials.gov, NCT00512109). Results: Of 36,657 eligible participants, 2744 (7.5%; 95% confidence interval [CI], 7.2-7.8) were readmitted within 30 days of discharge. Rates of readmission were highest in the first 7 days after discharge and declined over the follow-up period. Multivariable analyses demonstrated that 9 baseline characteristics (eg, cancer treatment in past 6 months; adjusted hazard ratio [HR], 1.44; 95% CI, 1.30-1.59), 5 baseline laboratory and physical measures (eg, estimated glomerular filtration rate or on dialysis; HR, 1.47; 95% CI, 1.24-1.75), 7 surgery types (eg, general surgery; HR, 1.86; 95% CI, 1.61-2.16), 5 index hospitalization events (eg, stroke; HR, 2.21; 95% CI, 1.24-3.94), and 3 other factors (eg, discharge to nursing home; HR, 1.61; 95% CI, 1.33-1.95) were associated with readmission. Conclusions: Readmission following noncardiac surgery is common (1 in 13 patients). We identified perioperative risk factors associated with 30-day readmission that can help frontline clinicians identify which patients are at the highest risk of readmission and target them for preventive measures.

Indexed as

cohort studyhospital readmissionnoncardiac surgeryrisk factors

Identifiers

PMID38911647
PMCPMC11192008

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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.