What is the clinical evidence from this study?

Study design: Cohort. Population: Pediatric surgical admissions (n=5230). Intervention: Emergency surgical admission vs. Elective surgical admission. Primary outcome: Unplanned 30-day readmission (p=<0.000001).

What does this research mean for the field?

Unplanned 30-day pediatric surgical readmissions are low (1.07%) and primarily driven by emergency presentations and disease biology rather than perioperative factors, suggesting they are not reliable standalone indicators of care quality. Novelty: ClaimNovelty.CONFIRMATORY. Consensus alignment: ConsensusAlignment.SUPPORTS_CONSENSUS.

What question did this study set out to answer?

This study aims to determine rates and patterns of unplanned 30-day readmissions in pediatric surgery at a tertiary care center.

May 24, 2026Journal of Indian Association of Pediatric SurgeonsOpen Access

Unplanned Pediatric Surgical Readmissions: Insights from a 3-year Study at a Tertiary Care Center

Q: What are the key findings of this study?

Emergency pediatric surgical admissions had a significantly higher 30-day unplanned readmission rate compared to elective procedures (3.1% vs. 0.6%; P<0.000001).

Q: What does this research mean for the field?

Unplanned 30-day pediatric surgical readmissions are low (1.07%) and primarily driven by emergency presentations and disease biology rather than perioperative factors, suggesting they are not reliable standalone indicators of care quality. Novelty: ClaimNovelty.CONFIRMATORY. Consensus alignment: ConsensusAlignment.SUPPORTS_CONSENSUS.

Q: What question did this study set out to answer?

This study aims to determine rates and patterns of unplanned 30-day readmissions in pediatric surgery at a tertiary care center.

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Key result

Emergency pediatric surgery linked to a ~5-fold higher 30-day readmission rate versus elective procedures.

P<0.000001
n=5,230

Why the study?

The study was designed to determine the rate and patterns of unplanned 30-day readmissions, compare readmission rates, and examine readmission trends to assess quality of care in pediatric surgery.

Does emergency surgical admission compared to elective admission increase the rate of unplanned 30-day readmissions in pediatric patients?

Population

5230 pediatric surgical admissions of children aged ≤18 years requiring an overnight stay

Comparison

Elective vs emergency surgical admission

Design

Retrospective cohort study

Follow-up

30 days

Authors

AGApurva GuptaAll India Institute of Medical Sciences Jodhpur RSRahul SaxenaAll India Institute of Medical Sciences Jodhpur MPManish PathakAll India Institute of Medical Sciences Jodhpur

Discussion

Member takes

Implication

Emergency admissions associated with higher readmissions; supports consensus yet leaves open targeted interventions.

Key Points

This study aims to determine rates and patterns of unplanned 30-day readmissions in pediatric surgery at a tertiary care center.
Conducted a retrospective cohort study over 3 years in a tertiary pediatric surgical center.
Included children aged ≤18 years readmitted within 30 days post elective or emergency surgeries requiring overnight stay.
Analyzed demographics, surgical procedures, postoperative complications, and management during readmissions.
Identified 56 unplanned readmissions from 5230 pediatric surgical admissions, yielding a readmission rate of 1.07%.
Emergency admissions led to significantly higher readmission rates (3.1%) compared to elective procedures (0.6%), P < 0.000001.
Most readmissions were due to disease-specific factors rather than perioperative issues.

Study Design

Type

Cohort (n=5,230)

Multicenter

Structured PICO

Does emergency surgical admission compared to elective admission increase the rate of unplanned 30-day readmissions in pediatric patients?

Population

5,230 pediatric surgical admissions (children aged ≤18 years) requiring an overnight stay at a tertiary pediatric surgical center in Western India.

Intervention

Emergency surgical admission

Comparator

Elective surgical admission

Outcome

Unplanned 30-day readmission rate

Main Result

Absolute Event Rate: 3.1% vs 0.6%

p-value: p=<0.000001

Unplanned 30-day readmissions in pediatric surgery are low and primarily driven by emergency presentations and disease biology rather than perioperative factors.

Cite This Study

Gupta et al. (2026) conducted a cohort in Pediatric surgical admissions (n=5,230). Emergency surgical admission vs. Elective surgical admission was evaluated on Unplanned 30-day readmission (p=<0.000001). Emergency pediatric surgical admissions had a significantly higher 30-day unplanned readmission rate compared to elective procedures (3.1% vs. 0.6%; P<0.000001).

synapsesocial.com/papers/6a12968148a0ea16656735ac https://doi.org/10.4103/jiaps.jiaps_73_26

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May 24, 2026Journal of Indian Association of Pediatric SurgeonsOpen Access

Unplanned Pediatric Surgical Readmissions: Insights from a 3-year Study at a Tertiary Care Center

View Full Paper

Ask AI

Bookmark

Key result

Emergency pediatric surgery linked to a ~5-fold higher 30-day readmission rate versus elective procedures.

P<0.000001
n=5,230

Why the study?

The study was designed to determine the rate and patterns of unplanned 30-day readmissions, compare readmission rates, and examine readmission trends to assess quality of care in pediatric surgery.

Does emergency surgical admission compared to elective admission increase the rate of unplanned 30-day readmissions in pediatric patients?

Population

5230 pediatric surgical admissions of children aged ≤18 years requiring an overnight stay

Comparison

Elective vs emergency surgical admission

Design

Retrospective cohort study

Follow-up

30 days

Authors

AGApurva GuptaAll India Institute of Medical Sciences Jodhpur RSRahul SaxenaAll India Institute of Medical Sciences Jodhpur MPManish PathakAll India Institute of Medical Sciences Jodhpur

Discussion

Member takes

Implication

Emergency admissions associated with higher readmissions; supports consensus yet leaves open targeted interventions.

Key Points

This study aims to determine rates and patterns of unplanned 30-day readmissions in pediatric surgery at a tertiary care center.
Conducted a retrospective cohort study over 3 years in a tertiary pediatric surgical center.
Included children aged ≤18 years readmitted within 30 days post elective or emergency surgeries requiring overnight stay.
Analyzed demographics, surgical procedures, postoperative complications, and management during readmissions.
Identified 56 unplanned readmissions from 5230 pediatric surgical admissions, yielding a readmission rate of 1.07%.
Emergency admissions led to significantly higher readmission rates (3.1%) compared to elective procedures (0.6%), P < 0.000001.
Most readmissions were due to disease-specific factors rather than perioperative issues.

Study Design

Type

Cohort (n=5,230)

Multicenter

Structured PICO

Does emergency surgical admission compared to elective admission increase the rate of unplanned 30-day readmissions in pediatric patients?

Population

5,230 pediatric surgical admissions (children aged ≤18 years) requiring an overnight stay at a tertiary pediatric surgical center in Western India.

Intervention

Emergency surgical admission

Comparator

Elective surgical admission

Outcome

Unplanned 30-day readmission rate

Main Result

Absolute Event Rate: 3.1% vs 0.6%

p-value: p=<0.000001

Unplanned 30-day readmissions in pediatric surgery are low and primarily driven by emergency presentations and disease biology rather than perioperative factors.

Cite This Study

synapsesocial.com/papers/6a12968148a0ea16656735ac https://doi.org/10.4103/jiaps.jiaps_73_26

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