Hospitals are working to reduce readmissions; however, little is known about the reasons for
readmission after surgery.
The most common reason for
readmission after bariatric surgery was ileus (blockage of the intestine) or obstruction (24.5 percent), and ileus or obstruction was the second most common reason for readmission overall (10.3 percent) and for colectomy or proctectomy, ventral hernia repair, and hysterectomy.
FITBIT DATA AIDS RESEARCHERS IN UNDERSTANDING SURGERY RECOVERY: Fitbit data can help researchers and doctors predict the risk of 30 - and 60 - day
readmission after surgery for cancer patients, according to a study published in the Annals of Behavioral Medicine.
Readmissions after surgery may not be an appropriate measure for pay - for - performance programs but rather better suited as measure for hospitals to track internally,» the authors write.
«Hospital
readmissions after surgery often related to complications from surgery.»
Not exact matches
We examined whether trusted Yelp reviews (screened to weed out fraudulent reviews) correlated with health care quality metrics for New York hospitals, including preventable hospital
readmissions and mortality
after hospital treatment for certain conditions (such as heart attacks) or procedures (such as stomach surgeries).
If your baby is experiencing problems with weight gain and good outputs, has to be hospitalized (NICU
after birth or
readmissions), or having continued latching problems, its important to follow up with an experienced lactation consultant.
Still, experts have argued that hospitals could go a long way toward reducing
readmissions just by ensuring that patients receive proper follow - up care
after discharge.
For example, heart failure and pneumonia are two of the most common diagnoses associated with hospital
readmission, but a study published in 2009 found that most patients who return to the hospital
after having one of these conditions do so for seemingly unrelated problems, such as injuries or adverse drug reactions.
Despite the increased national focus on reducing hospital
readmissions, Dharmarajan said it had not been clear whether hospitals with the lowest
readmission rates have been especially good at reducing
readmissions from specific diagnoses and time periods
after hospitalization, or have instead lowered
readmissions more generally.
High performing hospitals had fewer
readmissions across all diagnostic categories and time periods
after discharge.
Published Nov. 20 in the British Medical Journal, the researchers found that top - performing hospitals — those with the lowest 30 - day
readmission rates — had fewer
readmissions from all diagnoses and time periods
after discharge than lower performing hospitals with higher
readmissions.
For the individual procedures, the rate of
readmission ranged from 3.8 percent
after hysterectomy to 14.9 percent
after lower extremity vascular bypass.
In a study that included
readmission information from nearly 350 hospitals,
readmissions the first 30 days
after surgery were associated with new postdischarge complications related to the surgical procedure and not a worsening of any medical conditions the patient already had while hospitalized for surgery, according to a study in the February 3 issue of JAMA.
Dr. Cohen said the new risk outcomes are
readmission to the hospital; ileus, a type of bowel obstruction; and leak of an intestinal anastomosis, a surgical connection of two formerly distant parts of the intestine
after removal of diseased bowel.
«Home health care visits
after heart surgery significantly reduce risk of
readmission, death.»
Home visits by a cardiac surgery nurse practitioner (NP) following coronary artery bypass grafting (CABG) surgery can dramatically reduce a patient's risk of hospital
readmission and death 30 days
after surgery, according to a study in the May 2014 issue of The Annals of Thoracic Surgery.
When examining early (within 7 days of discharge) and late (more than 7 days
after discharge) unplanned
readmissions separately, the top 3 reasons for
readmission were similar overall (SSI, ileus or obstruction, and bleeding) and when examining each of the 6 procedure groups individually.
Ryan P. Merkow, M.D., M.S., of the American College of Surgeons, Chicago, and colleagues examined the reasons, timing, and factors associated with unplanned postoperative hospital
readmissions within 30 days
after surgery.
Though the early
readmission rate in the 30 days
after discharge was initially lower in patients with diastolic heart failure, this soon increased such that it was similar to those with systolic heart failure.
After controlling for severity of disease and surgical complexity, analyses showed that the rate of unplanned 30 - day
readmissions was approximately 78 percent for patients with any complication diagnosed following discharge from the hospital.
Those who saw their primary care provider within 30 days
after surgery had a 20 percent
readmission rate compared to a rate of 35 percent among those who did not have an early follow - up visit with their primary care physician.
The patients were followed for 90 days,
after which the researchers found significant reductions in coronary revascularization procedures, fewer hospital
readmissions and fewer recurrent cardiac testing episodes or the need for additional testing.
«Many health care systems are currently focused on providing interventions at or soon
after hospital discharge to reduce
readmissions,» Nguyen said.
In a linked editorial, Drs Christine Soong and Chaim Bell of Mount Sinai Hospital in Toronto, Canada, suggest that: «
After years of intensive research to find an objective measure of preventable
readmissions, it seems as imminent as the arrival of Godot.»
Moreover, the worse the hospital - acquired anemia — or the more blood lost — the higher the risk of death or
readmission, even
after adjusting for other important factors, UT Southwestern Medical Center researchers reported in a study involving 11,000 patients cared for in six hospitals.
Both home - visiting programs and multidisciplinary heart failure clinics visits can improve mortality and reduce all - cause
readmission in the six months
after hospitalization.
Programs providing a series of home visits soon
after hospital discharge can reduce 30 - day
readmission rates by 66 %.
Patients treated by female physicians had lower 30 - day mortality (adjusted mortality, 11.07 % vs 11.49 %; adjusted risk difference, — 0.43 %; 95 % CI, — 0.57 % to — 0.28 %; P <.001; number needed to treat to prevent 1 death, 233) and lower 30 - day
readmissions (adjusted
readmissions, 15.02 % vs 15.57 %; adjusted risk difference, — 0.55 %; 95 % CI, — 0.71 % to — 0.39 %; P <.001; number needed to treat to prevent 1
readmission, 182) than patients cared for by male physicians,
after accounting for potential confounders.
Patients of female physicians had significantly lower
readmission rates than those with male physicians,
after accounting for patient characteristics (15.01 % vs 15.57 %; RD, — 0.55 %; 95 % CI, — 0.71 % to — 0.41 %; P <.001; NNT to prevent 1
readmission, 182)(Table 2).
«In contrast, gratitude, assessed right
after the heart attack, actually had no effect on
readmissions or increasing physical activity,» said lead researcher Dr. Jeff Huffman, an assistant professor of psychiatry at Harvard, in Boston.
After the Petition for Reinstatement and subsequent investigation, Medi - Cal approved the Provider's
readmission into the Medi - Cal Program.
After enrollment and randomization to a study group, data for 3 COPE mothers were eliminated, because of a prior admission to the PICU (n = 1), readmission to the PICU before discharge (n = 1), or death after multiple readmissions to the PICU (n
After enrollment and randomization to a study group, data for 3 COPE mothers were eliminated, because of a prior admission to the PICU (n = 1),
readmission to the PICU before discharge (n = 1), or death
after multiple readmissions to the PICU (n
after multiple
readmissions to the PICU (n = 1).