Readmission following open ventral hernia repair: Incidence, indications, and predictors

Mylan T. Nguyen, Linda T. Li, Stephanie Hicks, Jessica A. Davila, James W. Suliburk, Mimi Leong, Lillian S. Kao, David H. Berger, Mike K. Liang

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)942-949
Number of pages8
JournalAmerican Journal of Surgery
Volume206
Issue number6
DOIs
StatePublished - Dec 1 2013
Externally publishedYes

Fingerprint

Ventral Hernia
Herniorrhaphy
Surgical Wound Infection
Incidence
Odds Ratio
Confidence Intervals
Patient Readmission
Multivariate Analysis
Skin
Infection

Keywords

  • Readmission
  • Retrospective
  • Ventral hernia

ASJC Scopus subject areas

  • Surgery

Cite this

Nguyen, M. T., Li, L. T., Hicks, S., Davila, J. A., Suliburk, J. W., Leong, M., ... Liang, M. K. (2013). Readmission following open ventral hernia repair: Incidence, indications, and predictors. American Journal of Surgery, 206(6), 942-949. https://doi.org/10.1016/j.amjsurg.2013.08.022

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 journalArticle

Nguyen, MT, Li, LT, Hicks, S, Davila, JA, Suliburk, JW, Leong, M, Kao, LS, Berger, DH & Liang, MK 2013, 'Readmission following open ventral hernia repair: Incidence, indications, and predictors', American Journal of Surgery, vol. 206, no. 6, pp. 942-949. https://doi.org/10.1016/j.amjsurg.2013.08.022
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. / Readmission following open ventral hernia repair : Incidence, indications, and predictors. In: American Journal of Surgery. 2013 ; Vol. 206, No. 6. pp. 942-949.
@article{34b7814294764cd68144ddf865b88219,
title = "Readmission following open ventral hernia repair: Incidence, indications, and predictors",
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.",
keywords = "Readmission, Retrospective, Ventral hernia",
author = "Nguyen, {Mylan T.} and Li, {Linda T.} and Stephanie Hicks and Davila, {Jessica A.} and Suliburk, {James W.} and Mimi Leong and Kao, {Lillian S.} and Berger, {David H.} and Liang, {Mike K.}",
year = "2013",
month = "12",
day = "1",
doi = "10.1016/j.amjsurg.2013.08.022",
language = "English (US)",
volume = "206",
pages = "942--949",
journal = "American Journal of Surgery",
issn = "0002-9610",
publisher = "Elsevier Inc.",
number = "6",

}

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 -