Journal article
National perspective on hospital readmissions following adrenalectomy
Gland surgery, Vol.11(6), pp.970-980
06/01/2022
DOI: 10.21037/gs-22-18
PMCID: PMC9253180
PMID: 35800745
Abstract
Background and Objective: Examining risk factors of readmission in adrenalectomy patients and estimated the cost burden of unplanned readmission on the United States??? healthcare system. Methods: According to the Nationwide Readmission Database, 20,494 patients underwent adrenalectomy between 2010???2014. Demographics, comorbidities, clinical data, length of stay (LOS), annual case volume, and discharge disposition of 30-and 90-day readmission cohorts were compared to the non-readmitted cohort. Results: A total of 1,463 (7.9%) and 1,959 (12.7%) adrenalectomy patients were readmitted at 30 and 90 days after discharge, respectively. Prolonged initial hospital stays [odds ratio (OR) =1.93; 95% confidence interval (CI): 1.63???2.27] and postoperative complications (OR =4.91; 95% CI: 1.98???12.16) were associated with a higher risk of readmission. Complications were significantly more frequent in patients with a primary or secondary malignancy (OR =1.42; 95% CI: 1.23???1.64) and in patients undergoing a procedure at a low adrenalectomy volume hospital [hazard ratio (HR) =0.75; 95% CI: 0.62???0.91; P=0.003]. Readmission extended overall LOS by an average of 2.06 days, costing an additional $18,529.49 per admission. Conclusions: Readmission adds significantly to the burden of disease after adrenalectomy. Understanding contributing factors may identify strategies to reduce readmissions and improve healthcare for patients.
Details
- Title: Subtitle
- National perspective on hospital readmissions following adrenalectomy
- Creators
- Mohammed Hussein - Tulane UniversityEman Toraih - Tulane UniversityAhmed Mahmoud Fouad - Suez Canal UniversityLauren Mueller - Tulane UniversityAlexander Blum - Tulane UniversityZaid Al-Qurayshi - Univ Iowa Hosp & Clin, Dept Otolaryngol Head & Neck Surg, Iowa City, IA 52242 USAJeffrey Borchardt - Tulane UniversityEmad Kandil - Tulane University
- Resource Type
- Journal article
- Publication Details
- Gland surgery, Vol.11(6), pp.970-980
- DOI
- 10.21037/gs-22-18
- PMID
- 35800745
- PMCID
- PMC9253180
- NLM abbreviation
- Gland Surg
- ISSN
- 2227-684X
- eISSN
- 2227-8575
- Publisher
- Ame Publ Co
- Number of pages
- 13
- Language
- English
- Date published
- 06/01/2022
- Academic Unit
- Otolaryngology
- Record Identifier
- 9984702946402771
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