Key result
Surgery at university hospitals linked to ~46% higher 30-day readmissions compared to private hospitals.
Why the study?
Surgical readmissions have been extensively studied in North America, but very few data from other countries, including France, are available.
What is the 30-day surgical readmission rate in France and is it associated with hospital status?
Population
1,686,602 patients undergoing surgery in 1270 French hospitals in 2010
Comparison
Surgery at University hospitals vs surgery at private hospitals
Design
Nationwide cross-sectional study
Follow-up
30 days
Authors
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University hospitals showed higher adjusted 30-day readmission risk than private ones; leaves open causal factors and need for prospective confirmation.
Cross-Sectional (n=1,686,602)
Yes
What is the 30-day surgical readmission rate in France and is it associated with hospital status?
Odds Ratio: 1.46 (95% CI 1.42–1.5)
The 30-day surgical readmission rate in France is relatively low at 5.9%, but University hospitals are associated with a higher risk of readmission compared to private hospitals.
Lefèvre et al. (2016) conducted a cross-sectional in Patients undergoing surgery (n=1,686,602). University hospital status vs. Private hospitals was evaluated on 30-day readmission rate (OR 1.46, 95% CI 1.42-1.5). Undergoing surgery at a University hospital was associated with a significantly higher risk of 30-day readmission compared to private hospitals (OR 1.46; 95% CI 1.42-1.5).
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