Evidence map›Paper›PMID 39617648›Full record

ArticleSurgery2025

Expedited discharge and risk of readmission after ostomy construction.

Kaitlin G Burge, Hannah Ficarino Sheffer, Mary Smithson, Chandler McLeod, Daniel Chu, Robert H Hollis

Abstract read
In one paragraph

Article in Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
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

6 authors.

Kaitlin G BurgeHeersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL. Electronic address: http://www.twitter.com/kaitlingburge.
Hannah Ficarino ShefferDivision of Gastrointestinal Surgery, University of Alabama at Birmingham, Birmingham, AL.
Mary SmithsonDivision of Gastrointestinal Surgery, University of Alabama at Birmingham, Birmingham, AL. Electronic address: http://www.twitter.com/MarySmithsonMD.
Chandler McLeodDivision of Gastrointestinal Surgery, University of Alabama at Birmingham, Birmingham, AL.
Daniel ChuDivision of Gastrointestinal Surgery, University of Alabama at Birmingham, Birmingham, AL. Electronic address: http://www.twitter.com/DChu80.
Robert H HollisDivision of Gastrointestinal Surgery, University of Alabama at Birmingham, Birmingham, AL; Institute for Cancer Outcomes and Survivorship, University of Alabama at Birmingham, Birmingham, AL. Electronic address: rhhollis@uabmc.edu.

Funding

Surgical Oncology Research Training ProgramT32CA229102 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI HERBERT CHEN · 2018 to 2026
$3.2M
NCI NIH HHS T32 CA229102
6 · The paper itself

Abstract

backgroundExpedited discharge after surgery with construction of an ostomy may leave patients less prepared for home self-care, leading to increased hospital readmissions. We evaluated whether readmission rates were greater for patients with an expedited discharge (1-2 days) compared with nonexpedited discharge (3-5 days) after ostomy construction.

methodsA retrospective analysis of a prospective database of patients undergoing ostomy construction was performed using the American College of Surgeons National Safety and Quality Improvement Project data between years 2019 and 2020. Inclusion criteria included age >18 years, discharge to home, and postoperative length of stay 1-5 days. Patients were grouped into either expedited or nonexpedited discharge by postoperative length of stay. The primary outcome was 30-day postoperative readmission. Analysis included multivariable logistic regression models and partial effects analysis.

resultsOf 13,628 patients included, 14.5% (n = 1,980) had an expedited discharge. Rates of 30-day readmission were 13.6% in the expedited group and 14.2% in the nonexpedited group (P = .51). Adjusting for patient and procedure factors, there was no significant difference in readmission rates between expedited and nonexpedited discharge groups (odds ratio, 1.08; 95% confidence interval, 0.94-1.25). In stratified analysis, there was no difference in readmission by discharge timing for any procedure type. The top 3 contributors to having an expedited discharge, as assessed by partial effects analysis, were procedure type, elective surgery, and pre-operative sepsis.

conclusionsEarly discharge within 1-2 days of ostomy construction was not associated with increased 30-day hospital readmissions. These findings support expedited discharges after ostomy construction in carefully selected, eligible patients.

Indexed as

Length of StayOstomyPatient DischargePatient ReadmissionAdultAgedFemaleHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesRisk FactorsTime Factors

Identifiers

PMID39617648
PMCPMC11717625

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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.