Predictors of Readmission after Outpatient Plastic Surgery

Mioton, Lauren M.; Buck, Donald W.; Rambachan, Aksharananda; Halen, Jon Ver; Dumanian, Gregory A.; Kim, John Y.S.

doi:10.1097/01.prs.0000436833.11442.8d

Cited by 42 publications

(21 citation statements)

References 31 publications

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“…13 Of the few studies that have focused on readmissions in the outpatient surgery setting, readmissions have been linked to surgical complications, obesity, and increased patient age. 14,15…”

Section: Introductionmentioning

confidence: 99%

Association of Frailty and Postoperative Complications With Unplanned Readmissions After Elective Outpatient Surgery

et al. 2019

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Key Points Question Is frailty, as measured by the Risk Analysis Index, associated with risk for unplanned readmission after elective outpatient surgery? Findings In this cohort study of 417 840 patients in the National Surgical Quality Improvement Program, frailty was associated with an increased risk for unplanned readmissions after elective outpatient surgery. Mediation analysis showed that the association of frailty with readmission was partially mediated by occurrence of complications. Meaning Surgical patients may benefit from screening for frailty to decrease complications and unplanned readmissions after surgery.

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Section: Introductionmentioning

confidence: 99%

Association of Frailty and Postoperative Complications With Unplanned Readmissions After Elective Outpatient Surgery

et al. 2019

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“…However, results of studies analyzing the effect of BMI on the clinical outcome are discrepant. While some authors failed to confirm preoperative BMI as an independent predictor of surgical complications [14,31,32], others suggest that the incidence of complications is roughly twice as high in those with BMI 30 kg/m 2 compared with those with BMI ,30 kg/m 2 [29,33]. Overall, Gunnarson et al [3] did not believe there are strong scientific grounds for using BMI alone as a tool to assess indication for surgery.…”

Section: Discussionmentioning

confidence: 99%

Clinical outcome of patients undergoing abdominoplasty after massive weight loss

Hünecke

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Mann

et al. 2019

Surgery for Obesity and Related Diseases

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“…The unplanned readmission rate of 7.11% associated with inpatient plastic surgery was higher than the 1.94% rate seen in outpatient plastic surgery procedures from the same dataset [17]. This may be expected as individuals receiving surgery in an outpatient setting are often healthier at baseline and have a corresponding lower risk for subsequent complications.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Readmission after Inpatient Plastic Surgery

et al. 2014

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BackgroundUnderstanding risk factors that increase readmission rates may help enhance patient education and set system-wide expectations. We aimed to provide benchmark data on causes and predictors of readmission following inpatient plastic surgery.MethodsThe 2011 National Surgical Quality Improvement Program dataset was reviewed for patients with both "Plastics" as their recorded surgical specialty and inpatient status. Readmission was tracked through the "Unplanned Readmission" variable. Patient characteristics and outcomes were compared using chi-squared analysis and Student's t-tests for categorical and continuous variables, respectively. Multivariate regression analysis was used for identifying predictors of readmission.ResultsA total of 3,671 inpatient plastic surgery patients were included. The unplanned readmission rate was 7.11%. Multivariate regression analysis revealed a history of chronic obstructive pulmonary disease (COPD) (odds ratio [OR], 2.01; confidence interval [CI], 1.12-3.60; P=0.020), previous percutaneous coronary intervention (PCI) (OR, 2.69; CI, 1.21-5.97; P=0.015), hypertension requiring medication (OR, 1.65; CI, 1.22-2.24; P<0.001), bleeding disorders (OR, 1.70; CI, 1.01-2.87; P=0.046), American Society of Anesthesiologists (ASA) class 3 or 4 (OR, 1.57; CI, 1.15-2.15; P=0.004), and obesity (body mass index ≥30) (OR, 1.43; CI, 1.09-1.88, P=0.011) to be significant predictors of readmission.ConclusionsInpatient plastic surgery has an associated 7.11% unplanned readmission rate. History of COPD, previous PCI, hypertension, ASA class 3 or 4, bleeding disorders, and obesity all proved to be significant risk factors for readmission. These findings will help to benchmark inpatient readmission rates and manage patient and hospital system expectations.

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Predictors of Readmission after Outpatient Plastic Surgery

Cited by 42 publications

References 31 publications

Association of Frailty and Postoperative Complications With Unplanned Readmissions After Elective Outpatient Surgery

Association of Frailty and Postoperative Complications With Unplanned Readmissions After Elective Outpatient Surgery

Clinical outcome of patients undergoing abdominoplasty after massive weight loss

Predictors of Readmission after Inpatient Plastic Surgery

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