30-Day Readmission Rate and its Causes in General Surgical Patients

J Coll Physicians Surg Pak. 2018 Apr;28(4):314-316. doi: 10.29271/jcpsp.2018.04.314.

Abstract

Objective: To find out the 30-day readmission rate for different surgical procedures and determine the causes for readmissions.

Study design: An audit report.

Place and duration of study: Department of Surgery, The Aga Khan University Hospital, Karachi, in the calendar year 2014.

Methodology: Records were retrospectively reviewed for 30-day readmission rate and their cause in general surgical patients who underwent a general surgical procedure at The Aga Khan University Hospital, Karachi, in the year 2014.

Results: Out of 217 (6.4%) readmissions in 3,387 patients, more than 50% unplanned readmissions were avoidable. The highest readmission rate was after placement of feeding tubes (28.5%).

Conclusion: More than half of the readmissions could have been prevented by proper patient/attendant education, good communication and provision of nursing services to these patients beyond the hospital.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • General Surgery
  • Humans
  • Length of Stay / statistics & numerical data*
  • Male
  • Medical Audit
  • Middle Aged
  • Outcome and Process Assessment, Health Care*
  • Pakistan / epidemiology
  • Patient Readmission / statistics & numerical data*
  • Postoperative Complications / epidemiology
  • Postoperative Complications / etiology*
  • Quality of Health Care
  • Risk Factors
  • Surgical Procedures, Operative / methods
  • Surgical Procedures, Operative / statistics & numerical data*
  • Time Factors