Cargando…
The 30-day hospital readmission and mortality after surgery in colorectal cancer patients
PURPOSE: Hospital readmissions in the first weeks following surgery are common, expensive, and associated with increased mortality among colorectal cancer patients. This study is designed to assess the 30-day hospital readmission after colorectal cancer surgery and evaluate the risk factors that aff...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9563783/ https://www.ncbi.nlm.nih.gov/pubmed/36229783 http://dx.doi.org/10.1186/s12876-022-02516-2 |
_version_ | 1784808485755551744 |
---|---|
author | Alyabsi, Mesnad S. Alqarni, Anwar H. Almutairi, Latifah M. Algarni, Mohammed A. Alshammari, Kanan M. Almutairi, Adel Alselaim, Nahar A. |
author_facet | Alyabsi, Mesnad S. Alqarni, Anwar H. Almutairi, Latifah M. Algarni, Mohammed A. Alshammari, Kanan M. Almutairi, Adel Alselaim, Nahar A. |
author_sort | Alyabsi, Mesnad S. |
collection | PubMed |
description | PURPOSE: Hospital readmissions in the first weeks following surgery are common, expensive, and associated with increased mortality among colorectal cancer patients. This study is designed to assess the 30-day hospital readmission after colorectal cancer surgery and evaluate the risk factors that affect hospital readmission. METHODS: The study uses data from the Ministry of National Guard-Health Affairs Cancer Registry. All colorectal cancer patients who underwent colorectal cancer surgery between January 1, 2016, and November 31, 2021, were investigated. Factors examined were age, gender, marital status, Body Mass Index, Charlson Comorbidity Index, chemotherapy, radiotherapy, tumor stage, grade, site, surgical approach, length of stay, and discharge location. Kaplan–Meier curves were constructed to assess survival rates between readmitted and non-readmitted patients, and logistic regressions were performed to assess predictors of readmission. RESULTS: A total of 356 patients underwent tumor resection and 49 patients were readmitted within 30-day of index discharge. The most common reasons for hospital readmissions were gastrointestinal (22.45%), urinary tract infection (16.33%), and surgical site infection (12.24%). In the multivariable analysis, females were 89% more likely to be readmitted compared to males (odds ratio 1.89, 95% confidence intervals 1.00–3.58). Patients with distant metastatic tumors have higher odds of readmission (odds ratio 4.52, 95% confidence intervals 1.39–14.71) compared to patients with localized disease. CONCLUSIONS: Colorectal cancer readmission is more common in patients with metastatic disease. Strategies to reduce readmission include planned transition to outpatient care, especially among patients with a high risk of readmission. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12876-022-02516-2. |
format | Online Article Text |
id | pubmed-9563783 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-95637832022-10-15 The 30-day hospital readmission and mortality after surgery in colorectal cancer patients Alyabsi, Mesnad S. Alqarni, Anwar H. Almutairi, Latifah M. Algarni, Mohammed A. Alshammari, Kanan M. Almutairi, Adel Alselaim, Nahar A. BMC Gastroenterol Research PURPOSE: Hospital readmissions in the first weeks following surgery are common, expensive, and associated with increased mortality among colorectal cancer patients. This study is designed to assess the 30-day hospital readmission after colorectal cancer surgery and evaluate the risk factors that affect hospital readmission. METHODS: The study uses data from the Ministry of National Guard-Health Affairs Cancer Registry. All colorectal cancer patients who underwent colorectal cancer surgery between January 1, 2016, and November 31, 2021, were investigated. Factors examined were age, gender, marital status, Body Mass Index, Charlson Comorbidity Index, chemotherapy, radiotherapy, tumor stage, grade, site, surgical approach, length of stay, and discharge location. Kaplan–Meier curves were constructed to assess survival rates between readmitted and non-readmitted patients, and logistic regressions were performed to assess predictors of readmission. RESULTS: A total of 356 patients underwent tumor resection and 49 patients were readmitted within 30-day of index discharge. The most common reasons for hospital readmissions were gastrointestinal (22.45%), urinary tract infection (16.33%), and surgical site infection (12.24%). In the multivariable analysis, females were 89% more likely to be readmitted compared to males (odds ratio 1.89, 95% confidence intervals 1.00–3.58). Patients with distant metastatic tumors have higher odds of readmission (odds ratio 4.52, 95% confidence intervals 1.39–14.71) compared to patients with localized disease. CONCLUSIONS: Colorectal cancer readmission is more common in patients with metastatic disease. Strategies to reduce readmission include planned transition to outpatient care, especially among patients with a high risk of readmission. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12876-022-02516-2. BioMed Central 2022-10-14 /pmc/articles/PMC9563783/ /pubmed/36229783 http://dx.doi.org/10.1186/s12876-022-02516-2 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Alyabsi, Mesnad S. Alqarni, Anwar H. Almutairi, Latifah M. Algarni, Mohammed A. Alshammari, Kanan M. Almutairi, Adel Alselaim, Nahar A. The 30-day hospital readmission and mortality after surgery in colorectal cancer patients |
title | The 30-day hospital readmission and mortality after surgery in colorectal cancer patients |
title_full | The 30-day hospital readmission and mortality after surgery in colorectal cancer patients |
title_fullStr | The 30-day hospital readmission and mortality after surgery in colorectal cancer patients |
title_full_unstemmed | The 30-day hospital readmission and mortality after surgery in colorectal cancer patients |
title_short | The 30-day hospital readmission and mortality after surgery in colorectal cancer patients |
title_sort | 30-day hospital readmission and mortality after surgery in colorectal cancer patients |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9563783/ https://www.ncbi.nlm.nih.gov/pubmed/36229783 http://dx.doi.org/10.1186/s12876-022-02516-2 |
work_keys_str_mv | AT alyabsimesnads the30dayhospitalreadmissionandmortalityaftersurgeryincolorectalcancerpatients AT alqarnianwarh the30dayhospitalreadmissionandmortalityaftersurgeryincolorectalcancerpatients AT almutairilatifahm the30dayhospitalreadmissionandmortalityaftersurgeryincolorectalcancerpatients AT algarnimohammeda the30dayhospitalreadmissionandmortalityaftersurgeryincolorectalcancerpatients AT alshammarikananm the30dayhospitalreadmissionandmortalityaftersurgeryincolorectalcancerpatients AT almutairiadel the30dayhospitalreadmissionandmortalityaftersurgeryincolorectalcancerpatients AT alselaimnahara the30dayhospitalreadmissionandmortalityaftersurgeryincolorectalcancerpatients AT alyabsimesnads 30dayhospitalreadmissionandmortalityaftersurgeryincolorectalcancerpatients AT alqarnianwarh 30dayhospitalreadmissionandmortalityaftersurgeryincolorectalcancerpatients AT almutairilatifahm 30dayhospitalreadmissionandmortalityaftersurgeryincolorectalcancerpatients AT algarnimohammeda 30dayhospitalreadmissionandmortalityaftersurgeryincolorectalcancerpatients AT alshammarikananm 30dayhospitalreadmissionandmortalityaftersurgeryincolorectalcancerpatients AT almutairiadel 30dayhospitalreadmissionandmortalityaftersurgeryincolorectalcancerpatients AT alselaimnahara 30dayhospitalreadmissionandmortalityaftersurgeryincolorectalcancerpatients |