Evidence map›Paper›PMID 40407824›Full record

ArticleClinical and translational gastroenterology2025

Predictors of 30-Day Unplanned Readmission in Necrotizing Pancreatitis: A 12-Year Experience From a Tertiary Care Center.

Gaurav Suryawanshi, Megan B Ghai, Nauroze Faizi, Stuart K Amateau, Nabeel Azeem, Shawn Mallery, Martin L Freeman, Guru Trikudanathan

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Article in Clinical and translational gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Gaurav SuryawanshiDepartment of Medicine, Division of Gastroenterology, Hepatology and Nutrition, University of Minnesota Medical Center, Minneapolis, Minnesota, USA.
Megan B GhaiDepartment of Medicine, Division of Gastroenterology, Hepatology and Nutrition, University of Minnesota Medical Center, Minneapolis, Minnesota, USA.
Nauroze FaiziDepartment of Radiology, University of Minnesota Medical Center, Minneapolis, Minnesota, USA .
Stuart K AmateauDepartment of Medicine, Division of Gastroenterology, Hepatology and Nutrition, University of Minnesota Medical Center, Minneapolis, Minnesota, USA.
Nabeel AzeemDepartment of Medicine, Division of Gastroenterology, Hepatology and Nutrition, University of Minnesota Medical Center, Minneapolis, Minnesota, USA.
Shawn MalleryDepartment of Medicine, Division of Gastroenterology, Hepatology and Nutrition, University of Minnesota Medical Center, Minneapolis, Minnesota, USA.
Martin L FreemanDepartment of Medicine, Division of Gastroenterology, Hepatology and Nutrition, University of Minnesota Medical Center, Minneapolis, Minnesota, USA.
Guru TrikudanathanDepartment of Medicine, Division of Gastroenterology, Hepatology and Nutrition, University of Minnesota Medical Center, Minneapolis, Minnesota, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHospital readmission rate is a key hospital metric and represents a substantial burden to patients and the healthcare system. Necrotizing pancreatitis (NP) patients are at high risk of unplanned readmission. The aim of this study was to determine the incidence and predictors of 30-day unplanned readmission after index hospitalization for NP.

methodsAdult NP patients who were managed at a single tertiary referral center between 2009 and 2022 were identified from a prospective database and categorized into 2 groups based on 30-day unplanned readmission after index hospitalization. Patients with no follow-up who died during index admission or within 30 days of discharge were excluded. Baseline data on admission including demographic, clinical, interventional, imaging, and discharge characteristics were compared. Multivariable analysis was completed to identify independent predictors of 30-day readmission.

resultsAmong 505 patients with NP (male patients-347 [69%], median age-50 years [inter quartile range 37-63]) 191 (37.8%) had at least 1 unplanned readmission. The most common causes of readmission were abdominal pain (40%) and sepsis (27%). On multivariable analysis, independent predictors for early readmission were necrosis collection size ≥ 6 cm (adjusted odds ratio [aOR] 1.91 [1.11-3.30], P < 0.03), stay at outside hospital ≥ 14 days before transfer to tertiary center (aOR 2.89 [1.27-6.60], P < 0.01), and need for percutaneous feeding tube at the time of discharge (aOR 2.06 [1.01-4.21], P < 0.05). DISCUSSION: Readmission after NP is common and associated with greater mortality at 6 months. Expedited transfer to tertiary center for timely intervention, assiduous follow-up of other high-risk patients (large collections and those who need enteral nutrition) could help avoid readmissions and optimize outcomes.

Indexed as

Pancreatitis, Acute NecrotizingPatient ReadmissionAbdominal PainAdultFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk FactorsSepsisTertiary Care CentersTime Factorsearly readmissionpancreaticobiliaryquality metric

Identifiers

PMID40407824
PMCPMC12330361

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