Risk Factors for 30-day Readmissions after Hepatectomy: Analysis of 2444 Patients from the ACS-NSQIP Database

Sooyeon Kim, Erin Maynard, Malay B. Shah, Michael F. Daily, Ching Wei D Tzeng, Daniel L. Davenport, Roberto Gedaly

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Aims: The aim of this study was to identify risk factors associated with unplanned readmissions after hepatectomies.Methods: Patients who underwent hepatectomies between January and December of 2011 were identified using the ACS-NSQIP database. A multivariate logistic regression analysis was performed to determine predictors of unplanned readmissions related to the procedure within 30 days.Results: Unplanned readmissions occurred in 10.5 % of all patients who received a hepatectomy. On multivariate analysis, transfusion within 72 h after surgery (odds ratio [OR] 1.74, p <0.001), complexity of procedure (extended, OR 1.84, p = 0.004; right hepatectomy, OR 1.66, p = 0.003), and longer operative time (>median 320 min, OR 2.43, p <0.001) were independent perioperative predictors of unplanned readmissions. Independent preoperative risk factors included elevated alkaline phosphatase (OR 1.45, p = 0.017), bleeding disorders (OR 1.72, p = 0.051), and lower albumin levels (OR 1.30, p = 0.036).Conclusion: Transfusion, complexity of procedure, and duration of operation were the strongest predictors of unplanned readmissions after liver resection.

Original languageEnglish (US)
Pages (from-to)266-271
Number of pages6
JournalJournal of Gastrointestinal Surgery
Volume19
Issue number2
DOIs
StatePublished - 2015
Externally publishedYes

Fingerprint

Hepatectomy
Odds Ratio
Databases
Alkaline Phosphatase
Albumins
Multivariate Analysis
Logistic Models
Regression Analysis
Hemorrhage
Liver

Keywords

  • Hepatectomy
  • Liver resection
  • Readmission

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

Cite this

Risk Factors for 30-day Readmissions after Hepatectomy : Analysis of 2444 Patients from the ACS-NSQIP Database. / Kim, Sooyeon; Maynard, Erin; Shah, Malay B.; Daily, Michael F.; Tzeng, Ching Wei D; Davenport, Daniel L.; Gedaly, Roberto.

In: Journal of Gastrointestinal Surgery, Vol. 19, No. 2, 2015, p. 266-271.

Research output: Contribution to journalArticle

Kim, Sooyeon ; Maynard, Erin ; Shah, Malay B. ; Daily, Michael F. ; Tzeng, Ching Wei D ; Davenport, Daniel L. ; Gedaly, Roberto. / Risk Factors for 30-day Readmissions after Hepatectomy : Analysis of 2444 Patients from the ACS-NSQIP Database. In: Journal of Gastrointestinal Surgery. 2015 ; Vol. 19, No. 2. pp. 266-271.
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AB - Aims: The aim of this study was to identify risk factors associated with unplanned readmissions after hepatectomies.Methods: Patients who underwent hepatectomies between January and December of 2011 were identified using the ACS-NSQIP database. A multivariate logistic regression analysis was performed to determine predictors of unplanned readmissions related to the procedure within 30 days.Results: Unplanned readmissions occurred in 10.5 % of all patients who received a hepatectomy. On multivariate analysis, transfusion within 72 h after surgery (odds ratio [OR] 1.74, p <0.001), complexity of procedure (extended, OR 1.84, p = 0.004; right hepatectomy, OR 1.66, p = 0.003), and longer operative time (>median 320 min, OR 2.43, p <0.001) were independent perioperative predictors of unplanned readmissions. Independent preoperative risk factors included elevated alkaline phosphatase (OR 1.45, p = 0.017), bleeding disorders (OR 1.72, p = 0.051), and lower albumin levels (OR 1.30, p = 0.036).Conclusion: Transfusion, complexity of procedure, and duration of operation were the strongest predictors of unplanned readmissions after liver resection.

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