Assessing readmission after general, vascular, and thoracic surgery using ACS-NSQIP.

ABSTRACT:

Objective

In 2012, Medicare began cutting reimbursement for hospitals with high readmission rates. We sought to define the incidence and risk factors associated with readmission after surgery.

Methods

A total of 230,864 patients discharged after general, upper gastrointestinal (GI), small and large intestine, hepatopancreatobiliary (HPB), vascular, and thoracic surgery were identified using the 2011 American College of Surgeons National Surgical Quality Improvement Program. Readmission rates and patient characteristics were analyzed. A predictive model for readmission was developed among patients with length of stay (LOS) 10 days or fewer and then validated using separate samples.

Results

Median patient age was 56 years; 43% were male, and median American Society of A

SUBMITTER: Lucas DJ 

PROVIDER: S-EPMC4623433 | biostudies-literature | 2013 Sep

REPOSITORIES: biostudies-literature