OBJECTIVE: Reducing readmissions has become a focal point to increase quality of care while reducing costs. We report all-cause unplanned return visits following urologic surgery in children at our institution. MATERIALS AND METHODS: Children undergoing urology procedures with returns within 30 days of surgery were identified. Patient demographics, insurance status, type of surgery, and reason for return were assessed. RESULTS: Four thousand and ninety-seven pediatric urology surgeries were performed at our institution during 2012, with 106 documented unplanned returns (2.59%). Mean time from discharge to return was 5.9 ± 4.9 days (range, 0.3-24.8 days). Returns were classified by chief complaint, including pain (32), infection (30), volume status (14), bleeding (11), catheter concern (8), and other (11). Circumcision, hypospadias repair, and inguinal/scrotal procedures led to the majority of return visits, accounting for 21.7%, 20.7%, and 18.9% of returns, respectively. Twenty-two returns (20.75%) resulted in hospital readmission and five (4.72%) required a secondary procedure. Overall readmission rate was 0.54%, with a reoperation rate of 0.12%. CONCLUSIONS: The rate of unplanned postoperative returns in the pediatric population undergoing urologic surgery is low, further strengthening the argument that readmission rates in children are not necessarily a productive focal point for financial savings or quality control.
OBJECTIVE: Reducing readmissions has become a focal point to increase quality of care while reducing costs. We report all-cause unplanned return visits following urologic surgery in children at our institution. MATERIALS AND METHODS:Children undergoing urology procedures with returns within 30 days of surgery were identified. Patient demographics, insurance status, type of surgery, and reason for return were assessed. RESULTS: Four thousand and ninety-seven pediatric urology surgeries were performed at our institution during 2012, with 106 documented unplanned returns (2.59%). Mean time from discharge to return was 5.9 ± 4.9 days (range, 0.3-24.8 days). Returns were classified by chief complaint, including pain (32), infection (30), volume status (14), bleeding (11), catheter concern (8), and other (11). Circumcision, hypospadias repair, and inguinal/scrotal procedures led to the majority of return visits, accounting for 21.7%, 20.7%, and 18.9% of returns, respectively. Twenty-two returns (20.75%) resulted in hospital readmission and five (4.72%) required a secondary procedure. Overall readmission rate was 0.54%, with a reoperation rate of 0.12%. CONCLUSIONS: The rate of unplanned postoperative returns in the pediatric population undergoing urologic surgery is low, further strengthening the argument that readmission rates in children are not necessarily a productive focal point for financial savings or quality control.
Authors: Christopher De Boer; Hassan Ghomrawi; Suhail Zeineddin; Samuel Linton; Yao Tian; Soyang Kwon; Fizan Abdullah Journal: JAMA Date: 2022-08-23 Impact factor: 157.335
Authors: Michael E Chua; Megan A Saunders; Paul R Bowlin; Jessica M Ming; Roberto Iglesias Lopes; Walid A Farhat; Joana Dos Santos Journal: Can Urol Assoc J Date: 2017-04-11 Impact factor: 1.862
Authors: Ahmed Abdelhalim; Abdelwahab Hashem; Ebrahim E Abouelenein; Ahmed M Atwa; Mohamed Soltan; Ashraf T Hafez; Mohamed S Dawaba; Tamer E Helmy Journal: Int Braz J Urol Date: 2022 May-Jun Impact factor: 3.050
Authors: Carolina Talini; Letícia Alves Antunes; Bruna Cecília Neves de Carvalho; Karin Lucilda Schultz; Maria Helena Camargo Peralta Del Valle; Ayrton Alves Aranha Junior; Wilmington Roque Torres Cosenza; Antonio Carlos Moreira Amarante; Antonio Ernesto da Silveira Journal: Einstein (Sao Paulo) Date: 2018-08-09