Risk factors of unplanned readmission after colorectal surgery: A prospective, multicenter study
Risk factors of unplanned readmission after colorectal surgery: A prospective, multicenter study
复制标题
DOI：
10.1007/s10350-007-0310-x
复制
发表时间：
2007-09-01
影响因子：
3.9
通讯作者：
Panis, Y.
中科院分区：
文献类型：
--
作者：
Guinier, D.;Mantion, G. A.;Panis, Y.
目的：结直肠手术后非计划性再入院是一种相对常见的事件，对此的了解往往不准确。本研究旨在检查再入院的发生率和原因，并确定可以预测它们的标准。方法：2002年6月至9月，1，421名患者参加了由法国外科协会进行的前瞻性多中心研究。本研究的目的是确定憩室疾病或癌症的择期或急诊手术治疗的结直肠手术后的死亡率和发病率。在这项研究中，评估了出院后三个月内的再入院情况。研究结果：在1，421名患者中，342名患者（27%）在平均53天后再次入院，其中248名（19.5%）是计划内再次入院，94名（7.5%）是计划外再次入院（主要是败血症并发症）。多因素Logistic回归分析显示，5个独立因素与非计划性再入院风险显著相关（按重要性排序）：术野污染、手术时间长、需要相关手术、血红蛋白水平
PURPOSE: Unplanned readmission after colorectal surgery is a relatively frequent event, knowledge of which often is inaccurate. This study was designed to examine the incidence and causes of readmissions and to determine the criteria that could predict them. METHODS: From June to September 2002, 1,421 patients were enrolled in a prospective, multicenter study performed by the Association Francaise de Chirurgie. The goal of the study was to determine mortality and morbidity after colorectal surgery for elective or emergency surgical management of diverticular disease or cancer. In the study, readmissions within three months after discharge were assessed. RESULTS: Of 1,421 patients, 342 patients (27 percent) were readmitted once after a mean period of 53 days, Among the readmissions, 248 (19.5 percent) were planned and 94 (7.5 percent) were unplanned (mainly for septic complications). With the multivariate logistic regression analysis, five independent factors were significantly associated with a higher risk of unplanned readmission (in order of importance): surgical field contamination, long duration of operation, need for an associated surgical procedure, hemoglobin level