Purpose: There has been a concern that the concept of enhanced recovery after surgery could affect other proposed quality measures, including the rate of readmission due to early discharge. We aimed to examine the 30-day readmission rate, risk factors associated with readmission after elective colorectal surgery for colon cancer, causes of readmission, disease-free survival (DFS), and overall survival (OS) in a single institution. Methods: We retrospectively investigated 292 patients who underwent elective colorectal surgery for colon cancer between 2010 and 2015. Baseline data including age, sex, body mass index, American Society of Anesthesiologists score, preoperative comorbidities, previous operation history, tumor-node-metastasis stage, surgical approach type, operation time, gas passage time, and hospital length of stay were obtained. Univariate and multivariate logistic regression analyses were performed to identify risk factors associated with 30-day readmission. Results: A total of 229 patients who underwent elective colorectal surgery were enrolled. Twenty-four patients were readmitted 30 days after discharge. The most common readmission diagnoses were wound bleeding or surgical-site infection. Multivariate analysis indicated that patients who had preoperative hepatic disease were at the highest risk of readmission (OR, 8.98; 95% CI, 7.35.
Purpose: There has been a concern that the concept of enhanced recovery after surgery could affect other proposed quality measures, including the rate of readmission due to early discharge. We aimed to examine the 30-day readmission rate, risk factors associated with readmission after elective colorectal surgery for colon cancer, causes of readmission, disease-free survival (DFS), and overall survival (OS) in a single institution. Methods: We retrospectively investigated 292 patients who underwent elective colorectal surgery for colon cancer between 2010 and 2015. Baseline data including age, sex, body mass index, American Society of Anesthesiologists score, preoperative comorbidities, previous operation history, tumor-node-metastasis stage, surgical approach type, operation time, gas passage time, and hospital length of stay were obtained. Univariate and multivariate logistic regression analyses were performed to identify risk factors associated with 30-day readmission. Results: A total of 229 patients who underwent elective colorectal surgery were enrolled. Twenty-four patients were readmitted 30 days after discharge. The most common readmission diagnoses were wound bleeding or surgical-site infection. Multivariate analysis indicated that patients who had preoperative hepatic disease were at the highest risk of readmission (OR, 8.98; 95% CI, 7.35.
Authors: Mesnad S Alyabsi; Anwar H Alqarni; Latifah M Almutairi; Mohammed A Algarni; Kanan M Alshammari; Adel Almutairi; Nahar A Alselaim Journal: BMC Gastroenterol Date: 2022-10-14 Impact factor: 2.847