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April 22, 2015JAMA Surgery

Nomogram to Predict Postoperative Readmission in Patients Who Undergo General Surgery

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Why the study?

Does a predictive nomogram accurately identify patients at risk for 30-day readmission following nonemergent general surgery?

Population

3,054 patients who underwent nonemergent inpatient general surgery procedures at a single academic…

Design

Cohort

Follow-up

30 days

Authors

STSarah E. TevisSWSharon M. WeberKKK. Craig Kent

Discussion

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Overview

May support de-intensified follow-up for low-risk patients; leaves open whether nomogram-guided interventions reduce readmissions.

Structured PICO

Does a predictive nomogram accurately identify patients at risk for 30-day readmission following nonemergent general surgery?

P
Population
3,054 patients (2,799 in development cohort, 255 in prospective validation cohort) who underwent nonemergent inpatient general surgery procedures at a single academic institution.
I
Intervention
Predictive nomogram developed using the American College of Surgeons National Surgical Quality Improvement Program database paired with institutional billing data
O
Outcome
Readmission within 30 days of discharge following an index hospitalization for a surgical procedurehard clinical

A newly developed nomogram can accurately predict 30-day postoperative readmission in general surgery patients, potentially identifying high-risk individuals for intensive outpatient follow-up.

Cite This Study

Tevis et al. (2015) studied this question.

synapsesocial.com/papers/6a8083d7377c56ad3031f3bdhttps://doi.org/10.1001/jamasurg.2014.4043
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