Key result
Very high predicted complication risk is associated with ~10-fold higher odds of 30-day unplanned readmission.
Why the study?
Does the ACS NSQIP predicted risk of major complications identify patients at risk for unplanned 30-day readmission after noncardiac surgery?
Population
143,232 patients undergoing major noncardiac surgery in the American College of Surgeons National Surgical…
Comparison
Stratification by ACS NSQIP predicted risk of… vs Patients at very low risk for complications
Design
Cohort
Follow-up
30-day
Authors
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May flag high-risk noncardiac surgery patients for readmission prevention; leaves open whether targeted interventions reduce events.
Cohort (n=143,232)
Yes
Does the ACS NSQIP predicted risk of major complications identify patients at risk for unplanned 30-day readmission after noncardiac surgery?
Effect estimate: aOR 10.35 (95% CI 9.16-11.70)
The ACS NSQIP predicted risk of major complications can prospectively identify surgical patients at high risk for unplanned 30-day rehospitalization.
Glance et al. (2014) conducted a cohort in Major noncardiac surgery (n=143,232). Very high predicted risk of major complications (>10%) vs. Very low predicted risk of major complications was evaluated on Unplanned 30-day readmission (aOR 10.35, 95% CI 9.16-11.70). Patients at very high predicted risk for major complications (>10%) had significantly higher odds of 30-day unplanned readmission compared with very low-risk patients (aOR 10.35; 95% CI 9.16-11.70).
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