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February 18, 2020Journal of the American College of Surgeons

Association of Geriatric-Specific Variables with 30-Day Hospital Readmission Risk of Elderly Surgical Patients: A NSQIP Analysis

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Key result

Geriatric-specific variables, such as being incompetent on admission (OR 1.63; 95% CI 1.11-2.38; p=0.01), were independently associated with 30-day hospital readmission in elderly surgical patients.

Why the study?

Preventing postoperative readmission is a key challenge in elderly surgical patients, but whether geriatric-specific variables independently associate with postoperative readmissions remained to be examined.

Population

6,039 general surgery patients age 65 years and older

Comparison

Association of geriatric-specific and standard NSQIP variables with readmission

Design

Retrospective database analysis

Follow-up

30 days

Authors

FTFlorence E. TurrentineUniversity of VirginiaVZVictor M. ZaydfudimUniversity of VirginiaAMAllison N. MartinDuke University

Discussion

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Implication

May inform geriatric risk stratification at discharge; hypothesis-generating for targeted interventions in elderly surgical patients.

Study Design

Type

Observational (n=6,039)

Multicenter

Yes

Structured PICO

P
Population
6,039 general surgery patients aged 65 years and older evaluated for predictors of 30-day postoperative readmission.
O
Outcome
Unplanned 30-day readmissionhard clinical

Main Result

Odds Ratio: 1.63 (95% CI 1.11–2.38)

p-value: p=0.01

Geriatric-specific variables such as cognitive status, fall risk, and mobility aid use are independently associated with 30-day hospital readmission in elderly surgical patients.

Cite This Study

Turrentine et al. (2020) conducted an observational in Elderly surgical patients (n=6,039). Geriatric-specific variables (e.g., incompetent on admission) was evaluated on unplanned 30-day readmission (OR 1.63, 95% CI 1.11-2.38, p=0.01). Geriatric-specific variables, such as being incompetent on admission (OR 1.63; 95% CI 1.11-2.38; p=0.01), were independently associated with 30-day hospital readmission in elderly surgical patients.

synapsesocial.com/papers/6a847c783b499be099c6beedhttps://doi.org/10.1016/j.jamcollsurg.2019.12.032
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