Abstract
Background The aim of this study was to evaluate the incidence, indications, and predictive factors of hospital readmission after open ventral hernia repair. Methods A retrospective review of all open ventral hernia repairs at a single institution from 2000 to 2010 was performed to assess readmissions between 1 to 30, 1 to 90, and 91 to 365 days. Multivariate analysis was performed to identify independent predictors of 30-day readmission. Results Of the 888 patients, 75 (8%) were readmitted between 1 and 30 days, 97 (11%) between 1 and 90 days, and 78 (9%) between 91 and 365 days. Unplanned readmissions related to the surgery constituted the majority of 1-day to 30-day and 1-day to 90-day readmissions (82% and 74%, respectively) but not between 91 and 365 days (32%). Prior superficial or deep surgical-site infection (odds ratio, 2.39; 95% confidence interval, 1.32 to 4.32) and duration of surgery (odds ratio, 1.35; 95% confidence interval, 1.05 to 1.73) were associated with 30-day readmission. Conclusions Efforts to reduce readmissions should be directed at modifiable risk factors for surgical-site infection and other surgical complications, particularly among those with prior skin infections and longer durations of surgery.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 942-949 |
| Number of pages | 8 |
| Journal | American Journal of Surgery |
| Volume | 206 |
| Issue number | 6 |
| DOIs | |
| State | Published - Dec 1 2013 |
| Externally published | Yes |
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Keywords
- Readmission
- Retrospective
- Ventral hernia
ASJC Scopus subject areas
- Surgery
Cite this
Readmission following open ventral hernia repair : Incidence, indications, and predictors. / Nguyen, Mylan T.; Li, Linda T.; Hicks, Stephanie; Davila, Jessica A.; Suliburk, James W.; Leong, Mimi; Kao, Lillian S.; Berger, David H.; Liang, Mike K.
In: American Journal of Surgery, Vol. 206, No. 6, 01.12.2013, p. 942-949.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Readmission following open ventral hernia repair
T2 - Incidence, indications, and predictors
AU - Nguyen, Mylan T.
AU - Li, Linda T.
AU - Hicks, Stephanie
AU - Davila, Jessica A.
AU - Suliburk, James W.
AU - Leong, Mimi
AU - Kao, Lillian S.
AU - Berger, David H.
AU - Liang, Mike K.
PY - 2013/12/1
Y1 - 2013/12/1
N2 - Background The aim of this study was to evaluate the incidence, indications, and predictive factors of hospital readmission after open ventral hernia repair. Methods A retrospective review of all open ventral hernia repairs at a single institution from 2000 to 2010 was performed to assess readmissions between 1 to 30, 1 to 90, and 91 to 365 days. Multivariate analysis was performed to identify independent predictors of 30-day readmission. Results Of the 888 patients, 75 (8%) were readmitted between 1 and 30 days, 97 (11%) between 1 and 90 days, and 78 (9%) between 91 and 365 days. Unplanned readmissions related to the surgery constituted the majority of 1-day to 30-day and 1-day to 90-day readmissions (82% and 74%, respectively) but not between 91 and 365 days (32%). Prior superficial or deep surgical-site infection (odds ratio, 2.39; 95% confidence interval, 1.32 to 4.32) and duration of surgery (odds ratio, 1.35; 95% confidence interval, 1.05 to 1.73) were associated with 30-day readmission. Conclusions Efforts to reduce readmissions should be directed at modifiable risk factors for surgical-site infection and other surgical complications, particularly among those with prior skin infections and longer durations of surgery.
AB - Background The aim of this study was to evaluate the incidence, indications, and predictive factors of hospital readmission after open ventral hernia repair. Methods A retrospective review of all open ventral hernia repairs at a single institution from 2000 to 2010 was performed to assess readmissions between 1 to 30, 1 to 90, and 91 to 365 days. Multivariate analysis was performed to identify independent predictors of 30-day readmission. Results Of the 888 patients, 75 (8%) were readmitted between 1 and 30 days, 97 (11%) between 1 and 90 days, and 78 (9%) between 91 and 365 days. Unplanned readmissions related to the surgery constituted the majority of 1-day to 30-day and 1-day to 90-day readmissions (82% and 74%, respectively) but not between 91 and 365 days (32%). Prior superficial or deep surgical-site infection (odds ratio, 2.39; 95% confidence interval, 1.32 to 4.32) and duration of surgery (odds ratio, 1.35; 95% confidence interval, 1.05 to 1.73) were associated with 30-day readmission. Conclusions Efforts to reduce readmissions should be directed at modifiable risk factors for surgical-site infection and other surgical complications, particularly among those with prior skin infections and longer durations of surgery.
KW - Readmission
KW - Retrospective
KW - Ventral hernia
UR - http://www.scopus.com/inward/record.url?scp=84889039916&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84889039916&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2013.08.022
DO - 10.1016/j.amjsurg.2013.08.022
M3 - Article
C2 - 24296099
AN - SCOPUS:84889039916
VL - 206
SP - 942
EP - 949
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 6
ER -