The most frequent cause of 90‐day unplanned hospital readmission following colorectal cancer resection is chemotherapy complications

• DOI: 10.1111/codi.12945
• Publication Date: 2015-03-12T06:41:31Z
• Authors: C. W. Ang; C. Seretis; K. Wanigasooriya; Y. Mahadik; J. Singh; M. A. S. Chapman
• Keywords: 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

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.