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Risk factors for 30-day hospital readmission after radical gastrectomy: a single-center retrospective study

Gastric Cancer, 2019, Vol.22(2), pp.413-420 [Peer Reviewed Journal]

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  • Title:
    Risk factors for 30-day hospital readmission after radical gastrectomy: a single-center retrospective study
  • Author: Asaoka, Raito ; Kawamura, Taiichi ; Makuuchi, Rie ; Irino, Tomoyuki ; Tanizawa, Yutaka ; Bando, Etsuro ; Terashima, Masanori
  • Found In: Gastric Cancer, 2019, Vol.22(2), pp.413-420 [Peer Reviewed Journal]
  • Subjects: Hospital readmission ; Radical gastrectomy ; Gastric cancer
  • Language: English
  • Description: Byline: Raito Asaoka (1), Taiichi Kawamura (1), Rie Makuuchi (1), Tomoyuki Irino (1), Yutaka Tanizawa (1), Etsuro Bando (1), Masanori Terashima (1) Keywords: Hospital readmission; Radical gastrectomy; Gastric cancer Abstract: Background Hospital readmission is gathering greater attention as a measure of health care quality. The introduction of fast-track surgery has led to shorter lengths of hospitalization without increasing the risk of postoperative complications and readmission. The collection of comprehensive readmission data is essential for the further improvement of patient care. The aim of the present study is to evaluate the risk factors for readmission within 30 days of discharge after gastrectomy. Methods A total of 1929 patients who underwent radical gastrectomy at Shizuoka Cancer Center were included in this study. A risk analysis with a stepwise logistic regression model was conducted to identify the risk factors for 30-day hospital readmission. Results The 30-day readmission rate was 2.70%. Common causes of readmission were an intolerance of oral intake and the presence of an intra-abdominal abscess. The C reactive protein (CRP) level on postoperative day (POD) 3 was significantly higher in the readmitted group however, the other surgical outcomes, including the incidence of postoperative complications, did not differ to a statistically significant extent. The stepwise logistic regression analysis revealed that CRP on POD3a[yen]12 mg/dl [odds ratio (OR) 2.08, 95% confidence interval (CI) 1.09--3.95, p=0.025], laparoscopic surgery (OR 2.25, 95% CI 1.17--4.31, p=0.015), and TG (OR 2.23, 95% CI 1.17--4.78, p=0.023) were found to be independent risk factors for readmission. Conclusions CRP on POD3a[yen]12 mg/dl, laparoscopic surgery, and TG were identified as independent risk factors for readmission. Author Affiliation: (1) 0000 0004 1774 9501, grid.415797.9, Division of Gastric Surgery, Shizuoka Cancer Center, 1007 Shimonagakubo, Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777, Japan Article History: Registration Date: 10/07/2018 Received Date: 16/05/2018 Accepted Date: 10/07/2018 Online Date: 13/07/2018 Article note: Electronic supplementary material The online version of this article ( https://doi.org/10.1007/s10120-018-0856-4) contains supplementary material, which is available to authorized users.
  • Identifier: ISSN: 1436-3291 ; E-ISSN: 1436-3305 ; DOI: 10.1007/s10120-018-0856-4

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