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September 17, 2014JAMA Surgery

During the 10-year period, the overall 30-day all-cause readmission rate following inpatient surgery discharge significantly decreased from 12.9% to 12.2% (P < .001).

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Population

894,943 patients discharged from 9 surgical specialties in the Veterans Health Administration between fiscal…

Design

Cohort

Follow-up

30 days

Authors

SHSoonhee HanTSTracy SmithWGWilliam Gunnar

Discussion

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Overview

Modest readmission decline in VHA surgery patients warrants ongoing monitoring; leaves open causal drivers and generalizability beyond veterans.

Structured PICO

P
Population
894,943 patients discharged from 9 surgical specialties (general, urology, neurosurgery, orthopedic, otolaryngology, plastic, thoracic, peripheral vascular, and cardiac) in the Veterans Health Administration (VHA) between fiscal years 2001-2010.
I
Intervention
Inpatient surgery across 9 specialties
O
Outcome
All-cause 30-day readmission after surgeryhard clinical

In the VHA system, 30-day all-cause readmission rates following inpatient surgery decreased significantly over a 10-year period, with postoperative infection being the most common cause for readmission.

Limitations

  • Does not capture data from patients who had surgery at a VHA facility but were readmitted in the private sector

Cite This Study

Han et al. (2014) studied this question.

synapsesocial.com/papers/6a76522e8cd3ec4591880bd5https://doi.org/10.1001/jamasurg.2014.1706
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Also Consider

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  1. 1Private-Sector Readmissions for Inpatient Surgery in Veterans Health Administration Hospitals2024 · 3 citations
  2. 2Postoperative 30-day Readmission2016 · 65 citations
  3. 3Characterization of Planned and Unplanned 30-Day Readmissions Following Vascular Surgical Procedures2016 · 19 citations
  4. 4The Relationship Between Timing of Surgical Complications and Hospital Readmission2014 · 164 citations
  5. 5Risk Factors for 30-Day Hospital Readmission among General Surgery Patients2012 · 624 citations