Early versus late hospital readmission after pancreaticoduodenectomy

• Published in: The Journal of surgical research 2015-06, Vol.196 (1), p.74-81
• Main Authors: Schneider, Eric B., PhD, Canner, Joseph K., MHS, Gani, Faiz, MBBS, Kim, Yuhree, MD, MPH, Ejaz, Aslam, MD, MPH, Spolverato, Gaya, MD, Pawlik, Timothy M., MD, MPH, PhD
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Female; Humans; Length of Stay; Logistic Models; Male; Middle Aged; Pancreaticoduodenectomy; Patient Readmission - statistics & numerical data; Readmission; Surgery; Time Factors
• ISSN: 0022-4804; 1095-8673
• DOI: 10.1016/j.jss.2015.02.043

Abstract Background Most studies focus on readmission within 30 d of surgery and may therefore underestimate the true burden of readmission after complex procedures. We therefore sought to explore factors associated with readmission within 90 d of discharge after pancreaticoduodenectomy (PD). Methods Patients discharged after PD between 2010 and 2012 were identified from the Truven Health MarketScan database. Determinants of early (≤30 d) and late (31–90 d) readmission were identified and analyzed. Results A total of 2209 patients met inclusion criteria with 615 patients being readmitted within 90 d; 20.37% ( n  = 450) had an early readmission, whereas 7.47% ( n  = 165) had a late readmission. Patients readmitted early had a longer length-of-stay (LOS) for the readmission compared with patients readmitted late (median LOS = 5 d, interquartile range, 3–8 versus median LOS = 3 d, interquartile range, 2–5, P