Location
LSU Health Sciences Center - New Orleans
Event Website
https://digitalscholar.lsuhsc.edu/surgery_s/
Document Type
Event
Start Date
4-5-2023 9:00 AM
End Date
4-5-2023 9:10 AM
Description
Introduction:
Readmission is used as a quality measure for surgical outcomes. Mitigating post-operative readmission is paramount to decrease morbidity, mortality, and healthcare cost. In this study, we assess the predictive factors of 30 day readmissions for patients who underwent a colectomy for uncomplicated diverticulitis.
Methods:
We performed a six-year retrospective review and analysis (2013-2018) of the ACS-NSQIP database of patients who underwent elective colectomy for acute and chronic uncomplicated diverticulitis. We included patients who were 18 years old and above who were readmitted within 30 days post colectomy. Baseline patient characteristics included patient demographics, operation type, bowel prep, comorbidities, and frailty index. Multivariable logistic regression was used to study the association between these risk factors and readmission.
Results:
A total of 13,295 patient were evaluated but on 7,949 patients were included in the analysis after exclusion of unqualified patients. Patients were predominantly females (54.8%), 50 years of age or older (75.9%), white (91.3%), non-frail (51.6%), healthy or of mild burden according to ASA classification and had a colectomy by laparoscopic approach (69.6%). Overall, the readmission rate was 8.4%. On multivariate logistic analysis, 30 days readmission was independently associated with current smoking status (p=0.020). Other independent predictors for readmission include use of steroids for a chronic condition (p<0.0001), the type of surgery (p=0.0001), and higher ASA classification (p=0.003)
Conclusion:
Patient smoking status, steroid use, surgical approach, and ASA classification are factors associated with readmission. Awareness of these modifiable risk factors may guide decision- making and treatment to mitigate the risk of readmission.
Recommended Citation
Pavleszek, Katherine; Leonardi, Claudia; Dooley, Danielle; Otohinoyi, David; Carr, Brian; and Nfonsam, Valentine, "Risk Factors for readmission after elective colectomy for uncomplicated diverticulitis" (2023). Surgery Research Symposium. 7.
https://digitalscholar.lsuhsc.edu/surgery_s/2023/postera/7
Included in
Risk Factors for readmission after elective colectomy for uncomplicated diverticulitis
LSU Health Sciences Center - New Orleans
Introduction:
Readmission is used as a quality measure for surgical outcomes. Mitigating post-operative readmission is paramount to decrease morbidity, mortality, and healthcare cost. In this study, we assess the predictive factors of 30 day readmissions for patients who underwent a colectomy for uncomplicated diverticulitis.
Methods:
We performed a six-year retrospective review and analysis (2013-2018) of the ACS-NSQIP database of patients who underwent elective colectomy for acute and chronic uncomplicated diverticulitis. We included patients who were 18 years old and above who were readmitted within 30 days post colectomy. Baseline patient characteristics included patient demographics, operation type, bowel prep, comorbidities, and frailty index. Multivariable logistic regression was used to study the association between these risk factors and readmission.
Results:
A total of 13,295 patient were evaluated but on 7,949 patients were included in the analysis after exclusion of unqualified patients. Patients were predominantly females (54.8%), 50 years of age or older (75.9%), white (91.3%), non-frail (51.6%), healthy or of mild burden according to ASA classification and had a colectomy by laparoscopic approach (69.6%). Overall, the readmission rate was 8.4%. On multivariate logistic analysis, 30 days readmission was independently associated with current smoking status (p=0.020). Other independent predictors for readmission include use of steroids for a chronic condition (p<0.0001), the type of surgery (p=0.0001), and higher ASA classification (p=0.003)
Conclusion:
Patient smoking status, steroid use, surgical approach, and ASA classification are factors associated with readmission. Awareness of these modifiable risk factors may guide decision- making and treatment to mitigate the risk of readmission.
https://digitalscholar.lsuhsc.edu/surgery_s/2023/postera/7