Surgery for Ulcerative Colitis Is Associated with a High Rate of Readmissions at 30 Days

Feuerstein, Joseph D.; Jiang, Z. Gordon; Belkin, Edward; Lewandowski, Jeffrey J.; Martínez-Vazquez, Manuel; Singla, Anand; Cataldo, Thomas E.; Poylin, Vitaliy; Cheifetz, Adam S.

doi:10.1097/mib.0000000000000473

Cited by 24 publications

(6 citation statements)

References 17 publications

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“…It is not clear whether in-hospital complications or clinician anxiety are more strongly linked to the long length of stay. Similarly, readmission rates remain high, a finding that has also been noted in other large cohorts [28]. The SWORD provides evidence of readmission but not reason for readmission.…”

Section: Discussionsupporting

confidence: 66%

Variation in practice of pouch surgery in England – using SWORD data to cut to the chase and justify centralization

et al. 2018

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Section: Discussionsupporting

confidence: 66%

Variation in practice of pouch surgery in England – using SWORD data to cut to the chase and justify centralization

et al. 2018

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“…Hanzlik et al have suggested that protocolized peri-operative teaching, such as the "Ileostomy pathway" which has been shown to reduce readmission rates in patients with new ostomies should be adopted in these cases. 16,17,22,[24][25][26][27] Of the post-operative complications, renal complications and urinary tract infections (7.6% each), were found to be significant risk factors for readmission and the similar findings were observed by Kassin et al as well. 3 Kelly et al also found that UTI was a significant factor for readmission.…”

Section: Discussionsupporting

confidence: 75%

Risk factors for 30-day unplanned readmission among patients undergoing laparotomy for perforation peritonitis

et al. 2017

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Background: Unforeseen re-admissions are a consequence of natural course of patient’s disease or results from sub-optimal care during first admission. Apart from causing increased expenditure, readmission immensely adds to the distress of the patient as well as his relatives. The aim of the study was to assess the incidence and risk factors for 30-day unplanned readmission following emergency laparotomy for perforation peritonitis.Methods: This prospective observational study was conducted on 145 patients undergoing laparotomy for perforation peritonitis in over a period of two years. Various pre-operative, intra-operative and post-operative parameters were studied to identify the risk factors for readmission.Results: Overall readmission rate was 8.96% and in majority of the cases it was due to post-surgical complications. Various factors found significant for readmission were American Society of Anaesthesiology (ASA) grade (p = 0.014) hypoproteinemia (p<0.001), diabetes mellitus (p = 0.001), immuno compromised status (p<0.001), stoma creation (p<0.001), blood transfusion (p = 0.022), renal complications and UTI (p = 0.027 each). On multivariate analysis, hypoproteinemia and stoma creation were found to be significant.Conclusions: Risk factors for readmission among surgical patients are multi-factorial. Taking appropriate steps can reduce the burden of readmission. Moreover decreasing the rate of surgical readmission represents an opportunity to improve patient care.

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“…The latter condition is most common. The reported risk factors for CD of the pouch include smoking, 4 family history of CD, 5 , 6 and being Ashkenazi Jews. 7 …”

Section: Discussionmentioning

confidence: 99%

Pouchitis Associated With Pelvic Radiation for Prostate Cancer

Kulkarni¹,

Liu²,

Shen³

2016

ACG Case Reports Journal

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Radiation therapy is a viable option in managing potentially life-threatening malignancies including prostate cancer. It is known that pelvic radiation can result in injury of the distal large bowel with the development of radiation proctitis. Despite reports from retrospective studies, there is a lack of direct endoscopic and histologic evidence of external pelvic radiation injury to the ileal pouch-anal anastomosis. We present a case of a 68-year-old male with pouchitis resulting from pelvic radiation for prostate cancer.

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Surgery for Ulcerative Colitis Is Associated with a High Rate of Readmissions at 30 Days

Abstract: Surgery for UC is associated with a high rate of readmission. Further prospective studies are necessary to determine the means to reduce these readmissions.

Cited by 24 publications

References 17 publications

Variation in practice of pouch surgery in England – using SWORD data to cut to the chase and justify centralization

Variation in practice of pouch surgery in England – using SWORD data to cut to the chase and justify centralization

Risk factors for 30-day unplanned readmission among patients undergoing laparotomy for perforation peritonitis

Pouchitis Associated With Pelvic Radiation for Prostate Cancer

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