The most frequent cause of 90‐day unplanned hospital readmission following colorectal cancer resection is chemotherapy complications
Adult
Aged, 80 and over
Male
Medical Audit
Time Factors
Rectal Neoplasms
Antineoplastic Agents
Middle Aged
Patient Readmission
3. Good health
03 medical and health sciences
0302 clinical medicine
England
Chemotherapy, Adjuvant
Colonic Neoplasms
Surgical Wound Dehiscence
Humans
Surgical Wound Infection
Female
Aged
Retrospective Studies
DOI:
10.1111/codi.12945
Publication Date:
2015-03-12T06:41:31Z
AUTHORS (6)
ABSTRACT
NHS England deems 90-day readmission rates as a marker of quality care. The causes have not been previously reported in the UK. aim this study was to examine factors associated with following colorectal cancer surgery at hospital trust catchment population 1.2 million.A retrospective review performed all patients undergoing resection for between January 2012 and December 2013. Unplanned defined an emergency admission any cause within 90 days surgery. Readmission analyses were restricted discharged from 28 resection.A total 570 underwent surgery, whom 522 are included analysis. rate 24.3% (127 163 episodes readmissions) most frequent complications related adjuvant chemotherapy (18.4%) followed by wound-related (14.1%). Most presenting admitted 60 chemotherapy-related after 61 days; 13/127 (10.2%) who readmitted one patient died readmission. Multivariate analysis demonstrated that comorbidity only independent risk factor.Ninety-day readmissions include high number secondary complications, whereas surgical-related present days.
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