Key result
Risk factors including female sex (men vs women OR 0.5), diabetes, sepsis, ICU stay, and Medicaid/Medicare status significantly increased the risk of unplanned 30-day readmission (8.2% overall rate).
Population
2,100 discharges from the general surgery service at a Level I trauma center and safety-net hospital between…
Design
Cohort
Follow-up
30 days
Authors
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May aid targeting readmission prevention in surgical patients; leaves open prospective validation of modifiable factors.
Cohort (n=2,100)
No
Odds Ratio: 0.5 (95% CI 0.37–0.71)
p-value: p=<.001
In a general surgery population, 30-day readmissions are frequently driven by social factors such as substance abuse and disposition issues, alongside specific medical comorbidities, rather than preventable complications of care.
McIntyre et al. (2016) conducted a cohort in General surgery discharge (n=2,100). Patient and clinical risk factors (e.g., female sex, diabetes, sepsis, ICU stay) vs. Patients without these risk factors was evaluated on Unplanned readmission within 30 days (OR 0.5, 95% CI 0.37-0.71, p=<.001). Risk factors including female sex (men vs women OR 0.5), diabetes, sepsis, ICU stay, and Medicaid/Medicare status significantly increased the risk of unplanned 30-day readmission (8.2% overall rate).
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