Factors associated with 30-day unplanned pediatric surgical readmission

Morgan K. Richards, Norbert Yanez, Adam B. Goldin, Tim Grieb, Whitney M. Murphy, George T. Drugas

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background Unplanned readmissions are costly to family satisfaction and negatively associated with quality of care. We hypothesized that patient, operative, and hospital factors would be associated with pediatric readmission. Methods All patients with an inpatient operation from 10/1/2008 to 7/28/2014 at a freestanding children's hospital were included. A retrospective cohort study using multivariable forward stepwise logistic regression determined factors associated with unplanned readmission within 30 days of discharge. Results Among 20,785 patients with an operation there were 26,978 encounters and 3,092 readmissions (11.5%). Thirteen of 33 candidate variables considered in the stepwise regression were significantly associated with readmission. Patients with an emergency department visit within 365 days of operation, American Society of Anesthesiologists class 4 or greater, Hispanic ethnicity and late-day or holiday/weekend discharges were more likely to have an unplanned readmission (odds ratio [OR] = 1.96; 95% confidence interval [CI] = 1.76 to 2.19, OR = 2.00; 95% CI = 1.58 to 2.53, OR = 1.16; 95% CI = 1.04 to 1.29, OR = 2.27; 95% CI = 1.55 to 3.63. respectively). Conclusions Patient and hospital factors may be associated with readmission. Day and time of discharge represent variability of care and are important targets for hospital initiatives to decrease unplanned readmission.

Original languageEnglish (US)
Pages (from-to)426-432
Number of pages7
JournalAmerican Journal of Surgery
Volume212
Issue number3
DOIs
StatePublished - Sep 1 2016
Externally publishedYes

Fingerprint

Pediatrics
Odds Ratio
Confidence Intervals
Holidays
Quality of Health Care
Hispanic Americans
Hospital Emergency Service
Inpatients
Cohort Studies
Retrospective Studies
Logistic Models

Keywords

  • Pediatric
  • Readmission
  • Surgical discharge

ASJC Scopus subject areas

  • Surgery

Cite this

Richards, M. K., Yanez, N., Goldin, A. B., Grieb, T., Murphy, W. M., & Drugas, G. T. (2016). Factors associated with 30-day unplanned pediatric surgical readmission. American Journal of Surgery, 212(3), 426-432. https://doi.org/10.1016/j.amjsurg.2015.12.012

Factors associated with 30-day unplanned pediatric surgical readmission. / Richards, Morgan K.; Yanez, Norbert; Goldin, Adam B.; Grieb, Tim; Murphy, Whitney M.; Drugas, George T.

In: American Journal of Surgery, Vol. 212, No. 3, 01.09.2016, p. 426-432.

Research output: Contribution to journalArticle

Richards, MK, Yanez, N, Goldin, AB, Grieb, T, Murphy, WM & Drugas, GT 2016, 'Factors associated with 30-day unplanned pediatric surgical readmission', American Journal of Surgery, vol. 212, no. 3, pp. 426-432. https://doi.org/10.1016/j.amjsurg.2015.12.012
Richards, Morgan K. ; Yanez, Norbert ; Goldin, Adam B. ; Grieb, Tim ; Murphy, Whitney M. ; Drugas, George T. / Factors associated with 30-day unplanned pediatric surgical readmission. In: American Journal of Surgery. 2016 ; Vol. 212, No. 3. pp. 426-432.
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