Unplanned readmission after lung resection surgery: A systematic review
Cir Esp (Engl Ed). 2019 Mar;97(3):128-144.
doi: 10.1016/j.ciresp.2018.11.005.
Epub 2018 Dec 10.
[Article in
English,
Spanish]
Affiliations
- 1 Servicio de Cirugía Torácica, Hospital Universitario Miguel Servet, Zaragoza, España; Departamento de Cirugía, Ginecología y Obstetricia, Facultad de Medicina, Universidad de Zaragoza, Zaragoza, España. Electronic address: fco854@separ.es.
- 2 Servicio de Anestesiología, Hospital Ernest Lluch Martín, Calatayud, Zaragoza, España.
- 3 Cirugía Torácica, Barcelona, España.
- 4 Departamento de Cirugía, Ginecología y Obstetricia, Facultad de Medicina, Universidad de Zaragoza, Zaragoza, España; Servicio de Cirugía General y Digestiva, Hospital Universitario Miguel Servet, Zaragoza, España.
Abstract
Urgent readmissions have a major impact on outcomes in patient health and healthcare costs. The associated risk factors have generally been infrequently studied. The main objective of the present work is to identify pre- and perioperative determinants of readmission; the secondary aim was to determine readmission rate, identification of readmission diagnoses, and impact of readmissions on survival rates in related analytical studies. The review was performed through a systematic search in the main bibliographic databases. In the end, 19 papers met the selection criteria. The main risk factors were: sociodemographic patient variables; comorbidities; type of resection; postoperative complications; long stay. Despite the great variability in the published studies, all highlight the importance of reducing readmission rates because of the significant impact on patients and the healthcare system.
Keywords:
Factores de riesgo; Hospital readmissions; Lung resection; Reingreso hospitalario; Resección pulmonar; Revisión sistemática; Risk factors; Systematic review.
Copyright © 2018 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.
MeSH terms
-
Aged
-
Aged, 80 and over
-
Carcinoma, Bronchogenic / pathology
-
Carcinoma, Bronchogenic / surgery*
-
Comorbidity / trends
-
Humans
-
Length of Stay / statistics & numerical data
-
Lung / pathology
-
Lung / surgery*
-
Male
-
Patient Readmission / economics*
-
Patient Readmission / statistics & numerical data
-
Perioperative Period
-
Postoperative Complications / epidemiology
-
Preoperative Period
-
Risk Factors
-
Spain / epidemiology
-
Survival Rate