From: Determinants of preventable readmissions in the United States: a systematic review
Citation | Reported readmission type (and explanation if provided) | Index condition* | Readmit condition | Timeframe | Population and Setting | Design and Sample size | Data source(s) | Risk factors/associated factors | Conceptually linked admissions†| Strategy for patient linkage‡ | Used multivariate statistics§ |
---|---|---|---|---|---|---|---|---|---|---|---|
Azimuddin et al [24] | Unplanned | Abdominal or perineal colon resection surgery | Related to the primary surgical procedure | 90 days | Colorectal surgery patients from single PA hospital | Retrospective cohort (249) | Chart review | No statistically significant factors found | Yes | No | No |
Kiran et al [33] | Unexpected early | Intestinal operations | Any condition (excluding planned) | 30 days | Colorectal surgery service patients single OH hospital | Retrospective cohort (553) | Chart review, Interviews | Encounter Increasing length of stay | No | Yes | No |
Medress and Fleshner [36] | Unplanned related (a direct consequence of the recent operation) | Ileal pouch-anal anastomosis surgery | Admission resulted from a complication | 30 days | Inflammatory bowel disease patients requiring colectomy from single CA hospital | Retrospective cohort (202) | Hospital databases, Interviews | No statistically significant factors found | Yes | Yes | No |
O'Brien [37] | Early | Elective laparoscopic colon and rectal surgery | Any condition | 30 days | Colorectal surgery patients from single OH hospital | Retrospective cohort (820) | Hospital databases | Patient Pulmonary disease Inflammatory bowel disease Encounter Perioperative steroids Conversion from laparoscopic to open operation | No | Yes | No |
Ozturk et al [38] | Early | Ileal pouch-anal anastomosis surgery | Any emergent or elective, unplanned readmission | 30 days | Ileal pouch-anal anastomosis surgery patients from single OH hospital | Retrospective cohort (3,410) | Hospital database, Interviews | Patient Comorbidity Encounter Laparoscopic approach Synchronous protocolectomy Postoperative blood transfusion | No | Yes | Yes |
Reddy et al [40] | Early | Pancreatic resection | Any condition | 30 days and 1 year | Pancreatic cancer patients, ≥66 years in SEER and Medicare Parts A and B nationwide | Retrospective cohort (1,730) | SEER-Medicare Linked Data | Patient Increasing Charlson score (1 year) Encounter Increasing length of stay (30 day and 1 year) Distal pancreatectomy (30 day) | No | Yes | Yes |
Scott et al [42] | Readmissions due to early infection | Surgery | Infection | 14 to 28 days | Received prophylactic antibiotic prior to surgery from single NY hospital | Retrospective cohort (9,016) | Hospital databases | Encounter Skin or tissue biopsy Dialysis shunt Endarterectomy Non-cardiac vascular repair Early infection | Yes | No | Yes |
Weller et al [43] | Short-term | Any surgical procedure | Venous thrombo-embolism (AHRQ PSI) | 30 days | Surgical patients from NY | Retrospective cohort (4,906) | New York Statewide Planning and Research Cooperative System | Patient Female** White non-Hispanic** Increasing age** | Yes | Yes | No |