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Factors associated with 30-day unplanned pediatric surgical readmission.

Publication ,  Journal Article
Richards, MK; Yanez, D; Goldin, AB; Grieb, T; Murphy, WM; Drugas, GT
Published in: Am J Surg
September 2016

BACKGROUND: Unplanned readmissions are costly to family satisfaction and negatively associated with quality of care. We hypothesized that patient, operative, and hospital factors would be associated with pediatric readmission. METHODS: All patients with an inpatient operation from 10/1/2008 to 7/28/2014 at a freestanding children's hospital were included. A retrospective cohort study using multivariable forward stepwise logistic regression determined factors associated with unplanned readmission within 30 days of discharge. RESULTS: Among 20,785 patients with an operation there were 26,978 encounters and 3,092 readmissions (11.5%). Thirteen of 33 candidate variables considered in the stepwise regression were significantly associated with readmission. Patients with an emergency department visit within 365 days of operation, American Society of Anesthesiologists class 4 or greater, Hispanic ethnicity and late-day or holiday/weekend discharges were more likely to have an unplanned readmission (odds ratio [OR] = 1.96; 95% confidence interval [CI] = 1.76 to 2.19, OR = 2.00; 95% CI = 1.58 to 2.53, OR = 1.16; 95% CI = 1.04 to 1.29, OR = 2.27; 95% CI = 1.55 to 3.63. respectively). CONCLUSIONS: Patient and hospital factors may be associated with readmission. Day and time of discharge represent variability of care and are important targets for hospital initiatives to decrease unplanned readmission.

Duke Scholars

Published In

Am J Surg

DOI

EISSN

1879-1883

Publication Date

September 2016

Volume

212

Issue

3

Start / End Page

426 / 432

Location

United States

Related Subject Headings

  • Washington
  • Time Factors
  • Surgery
  • Risk Factors
  • Retrospective Studies
  • Postoperative Complications
  • Patient Readmission
  • Odds Ratio
  • Male
  • Length of Stay
 

Citation

APA
Chicago
ICMJE
MLA
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Richards, M. K., Yanez, D., Goldin, A. B., Grieb, T., Murphy, W. M., & Drugas, G. T. (2016). Factors associated with 30-day unplanned pediatric surgical readmission. Am J Surg, 212(3), 426–432. https://doi.org/10.1016/j.amjsurg.2015.12.012
Richards, Morgan K., David Yanez, Adam B. Goldin, Tim Grieb, Whitney M. Murphy, and George T. Drugas. “Factors associated with 30-day unplanned pediatric surgical readmission.Am J Surg 212, no. 3 (September 2016): 426–32. https://doi.org/10.1016/j.amjsurg.2015.12.012.
Richards MK, Yanez D, Goldin AB, Grieb T, Murphy WM, Drugas GT. Factors associated with 30-day unplanned pediatric surgical readmission. Am J Surg. 2016 Sep;212(3):426–32.
Richards, Morgan K., et al. “Factors associated with 30-day unplanned pediatric surgical readmission.Am J Surg, vol. 212, no. 3, Sept. 2016, pp. 426–32. Pubmed, doi:10.1016/j.amjsurg.2015.12.012.
Richards MK, Yanez D, Goldin AB, Grieb T, Murphy WM, Drugas GT. Factors associated with 30-day unplanned pediatric surgical readmission. Am J Surg. 2016 Sep;212(3):426–432.
Journal cover image

Published In

Am J Surg

DOI

EISSN

1879-1883

Publication Date

September 2016

Volume

212

Issue

3

Start / End Page

426 / 432

Location

United States

Related Subject Headings

  • Washington
  • Time Factors
  • Surgery
  • Risk Factors
  • Retrospective Studies
  • Postoperative Complications
  • Patient Readmission
  • Odds Ratio
  • Male
  • Length of Stay