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July 1, 2025Patient Safety in SurgeryOpen Access

Risk factors for 30-day unplanned readmissions after surgical procedures in the elderly population

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Key result

Dementia, ESKD, and metastatic cancer strongly predict 30-day unplanned readmission in elderly surgical patients.

  • 95% CI 3.5-4.3
  • n=9,020

Why the study?

Urgent hospital readmissions within 30 days after surgery reflect quality of care, prompting this study to identify characteristics of patients at higher risk and main reasons for readmission stratified by surgery type.

Population

Patients over 60 years of age who underwent surgery in 2022 in Northern Italy

Comparison

Risk factors including demographics, hospitalisation details, comorbidities, and procedures

Design

Cross-sectional study

Follow-up

30 days

Authors

GSGino SartorMFMarco FuscoMMMarzio Milana

Discussion

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Member takes

Overview

May inform risk stratification for elderly surgical patients; hypothesis-generating for prospective readmission prevention trials.

Study Design

Type

Cross-Sectional (n=9,020)

Multicenter

Yes

Structured PICO

P
Population
9,020 index surgical admissions in patients over 60 years of age in 2022 from hospitals covering an area of 890,000 inhabitants in Northern Italy (ULSS Marca Trevigiana).
I
Intervention
Surgical procedures (including cardiovascular, gastrointestinal, orthopedic, skin-soft tissues, urologic, and others)
O
Outcome
30-day unplanned readmissionhard clinical

Dementia, end-stage kidney disease, and metastatic cancer are strong independent predictors of 30-day unplanned readmission in elderly surgical patients, highlighting the need for targeted transitional care.

Limitations

  • Use of administrative datasets which may not be as accurate as clinical data

Cite This Study

Sartor et al. (2025) conducted a cross-sectional in Postoperative readmission (n=9,020). Surgical procedures was evaluated on Overall 30-day unplanned readmission rate (95% CI 3.5-4.3). Dementia (OR 3.19), end-stage kidney disease (OR 2.84), and metastatic cancer (OR 2.65) were identified as the strongest independent predictors of 30-day unplanned readmission in elderly surgical patients.

synapsesocial.com/papers/6a1832f9aeefdf6d9c137ad2https://doi.org/10.1186/s13037-025-00442-2
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Risk Factors for Readmission After Elective Colectomy2013 · 34 citations
  2. 2Risk Factors for Heart Failure Readmission After Cardiac Surgery2023 · 7 citations
  3. 3Multiple unplanned readmissions after discharge for an admission with percutaneous coronary intervention2020 · 10 citations
  4. 4Re-Admissions Following Hip Fracture Surgery2009 · 70 citations
  5. 5Prevention of 30-Day Readmission After Coronary Artery Bypass Surgery2017 · 13 citations