April 1, 2017The American Surgeon

Postoperative Complications Predict 30-Day Readmission in Geriatric General Surgery Patients

Q: What is the clinical evidence from this study?

Study design: Cohort. Population: Geriatric general surgery patients (n=7712). Intervention: Postoperative complications vs. No postoperative complications. Primary outcome: Unplanned readmission within 30 days after index surgery (HR 1.449, 95% CI 1.33-1.852, p=0.03).

Q: What does this research mean for the field?

Postoperative complications, particularly deep vein thrombosis, independently predict 30-day unplanned readmission in geriatric general surgery patients. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

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Key result

Any postoperative complication predicts ~45% higher 30-day unplanned readmission risk, particularly DVT.

HR 1.449
95% CI 1.33-1.852
P=0.03
n=7,712

Population

7,712 patients aged 65 years and older who underwent general surgery procedures in 2012, selected from the…

Design

Cohort

Follow-up

30 days

Authors

JDJames D. Dieterich CDCelia M. Divino

Discussion

Member takes

Overview

Postoperative complications and DVT were associated with readmission in geriatric surgery; hypothesis-generating for prevention trials.

Study Design

Type

Cohort (n=7,712)

Multicenter

Yes

Structured PICO

Population

7,712 patients aged 65 years and older who underwent general surgery procedures in 2012, evaluated for risk factors of 30-day unplanned readmission.

Outcome

Unplanned readmission within 30 days after index surgery

Main Result

Hazard Ratio: 1.449 (95% CI 1.33–1.852)

p-value: p=0.03

Postoperative complications and venous thromboembolism are significant independent predictors of 30-day unplanned readmission in geriatric general surgery patients.

Cite This Study

Dieterich et al. (2017) conducted a cohort in Geriatric general surgery patients (n=7,712). Postoperative complications vs. No postoperative complications was evaluated on Unplanned readmission within 30 days after index surgery (HR 1.449, 95% CI 1.33-1.852, p=0.03). Any postoperative complication (HR 1.449; 95% CI 1.33-1.852; P=0.03) and deep vein thrombosis (HR 1.87; 95% CI 1.31-3.85; P=0.03) independently predicted 30-day unplanned readmission.

synapsesocial.com/papers/6aa7a7cc9885271c4fd132b0 https://doi.org/10.1177/000313481708300423

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April 1, 2017The American Surgeon

Postoperative Complications Predict 30-Day Readmission in Geriatric General Surgery Patients

View Full Paper

Ask AI

Bookmark

Key result

Any postoperative complication predicts ~45% higher 30-day unplanned readmission risk, particularly DVT.

HR 1.449
95% CI 1.33-1.852
P=0.03
n=7,712

Population

7,712 patients aged 65 years and older who underwent general surgery procedures in 2012, selected from the…

Design

Cohort

Follow-up

30 days

Authors

JDJames D. Dieterich CDCelia M. Divino

Discussion

Member takes

Overview

Postoperative complications and DVT were associated with readmission in geriatric surgery; hypothesis-generating for prevention trials.

Study Design

Type

Cohort (n=7,712)

Multicenter

Yes

Structured PICO

Population

7,712 patients aged 65 years and older who underwent general surgery procedures in 2012, evaluated for risk factors of 30-day unplanned readmission.

Outcome

Unplanned readmission within 30 days after index surgery

Main Result

Hazard Ratio: 1.449 (95% CI 1.33–1.852)

p-value: p=0.03

Postoperative complications and venous thromboembolism are significant independent predictors of 30-day unplanned readmission in geriatric general surgery patients.

Cite This Study

synapsesocial.com/papers/6aa7a7cc9885271c4fd132b0 https://doi.org/10.1177/000313481708300423

Also Consider

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

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