Characteristics of 30-day readmission in spontaneous pneumothorax in the United States: a nationwide retrospective study

Abstract

Objective : Our study aimed to determine the national estimates of the 30-day all-cause readmission rate among patients with spontaneous pneumothorax and to investigate the burden of these readmissions in terms of mortality, length of stay and hospitalization costs in the USA. Methods : We utilized the Nationwide Readmission Database for 2013–2014 and identified adults with a primary diagnosis of spontaneous pneumothorax. We analyzed and reported patient- and hospital-level variables of the study cohort. Our primary outcome was 30-day readmission rate, including the reasons for readmission. Our secondary outcomes included all-cause mortality, resources utilization and predictors of readmissions. Results : We identified 47,108 index admissions with spontaneous pneumothorax. The 30-day readmission rate was 13.6%. The most common reason for admission was recurrent pneumothorax. In index admissions, the in-hospital mortality rate was 3.1%; whereas, in readmissions, the mortality was higher (4.6%, p < 0.001). Both age group 45–64 ( HR : 1.31, 95% CI : [1.15–1.49], p < 0.001) and history of cancer ( HR : 1.34, 95% CI : [1.17–1.53], p < 0.001) were found to predict the risk of 30-day readmission. Conclusion : The 30-day readmission rate in patients with spontaneous pneumothorax was 13.6%, and a recurrent event was the most likely cause. The 30-day readmissions were associated with higher mortality and hospitalization charges. Middle age and history of cancer increase likelihood of 30-day readmission.

Next-day discharge following small uniportal thoracoscopic bullectomy assisted with an anchoring suture

“…14 It is noteworthy that the incidence of 30-day unplanned readmission in PSP patients is reported to be 13.6%, and middle age and history of cancer are two independent risk factors for readmission. 18 Mechanical pleurodesis is widely used with the aim to decrease the risk of postoperative recurrence of PSP after bullectomy, while there is little evidence of this to date. A trial showed that the application of mechanical pleurodesis did not significantly decrease the incidence of PSP recurrence compared with simple wedge resection.…”

Robotic Bronchoscopy: Review of Three Systems

“…Complication rates were significantly higher for TTNA than for RB (17% vs. 4.4%) [ 47 ]. The average cost for an admission for primary spontaneous pneumothorax has been retrospectively estimated at $13,961 ± $15,789, with total costs of $52,118 ± $69,490 [ 48 ], and this does not include the cost of the staging bronchoscopy that is required for positive lesions. Future prospective studies will likely be able to demonstrate cost benefit over, or at least cost parity with, TTNA at the system level.…”