دورية أكاديمية
أعرض في EDS

Hospital Readmissions After Urological Surgical Procedures in France: A Nationwide Cohort Study over 3 Years.

التفاصيل البيبلوغرافية
العنوان: Hospital Readmissions After Urological Surgical Procedures in France: A Nationwide Cohort Study over 3 Years.
المؤلفون: Manach Q; Department of Urology, Pitié-Salpêtrière Academic Hospital, Assistance Publique-Hôpitaux de Paris, Pierre and Marie Curie Medical School, University Paris Sorbonne, Paris, France., Rouprêt M; Department of Urology, Pitié-Salpêtrière Academic Hospital, Assistance Publique-Hôpitaux de Paris, Pierre and Marie Curie Medical School, University Paris Sorbonne, Paris, France. Electronic address: morgan.roupret@aphp.fr., Reboul-Marty J; Department of Medical Information, Marne la Vallée General Hospital, Jossigny, France., Drouin SJ; Department of Urology, Pitié-Salpêtrière Academic Hospital, Assistance Publique-Hôpitaux de Paris, Pierre and Marie Curie Medical School, University Paris Sorbonne, Paris, France., Guillot-Tantay C; Department of Urology, Pitié-Salpêtrière Academic Hospital, Assistance Publique-Hôpitaux de Paris, Pierre and Marie Curie Medical School, University Paris Sorbonne, Paris, France., Matillon X; Department of Urology, Pitié-Salpêtrière Academic Hospital, Assistance Publique-Hôpitaux de Paris, Pierre and Marie Curie Medical School, University Paris Sorbonne, Paris, France., Parra J; Department of Urology, Pitié-Salpêtrière Academic Hospital, Assistance Publique-Hôpitaux de Paris, Pierre and Marie Curie Medical School, University Paris Sorbonne, Paris, France., Mozer P; Department of Urology, Pitié-Salpêtrière Academic Hospital, Assistance Publique-Hôpitaux de Paris, Pierre and Marie Curie Medical School, University Paris Sorbonne, Paris, France., Bitker MO; Department of Urology, Pitié-Salpêtrière Academic Hospital, Assistance Publique-Hôpitaux de Paris, Pierre and Marie Curie Medical School, University Paris Sorbonne, Paris, France., Lefèvre JH; Department of Digestive Surgery, Saint-Antoine Academic Hospital, Assistance Publique-Hôpitaux de Paris, Pierre and Marie Curie Medical School, University Paris Sorbonne, Paris, France., Phé V; Department of Urology, Pitié-Salpêtrière Academic Hospital, Assistance Publique-Hôpitaux de Paris, Pierre and Marie Curie Medical School, University Paris Sorbonne, Paris, France.
المصدر: European urology focus [Eur Urol Focus] 2018 Jul; Vol. 4 (4), pp. 621-627. Date of Electronic Publication: 2017 Jun 16.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier B.V Country of Publication: Netherlands NLM ID: 101665661 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2405-4569 (Electronic) Linking ISSN: 24054569 NLM ISO Abbreviation: Eur Urol Focus Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Amsterdam : Elsevier B.V., [2015]-
مواضيع طبية MeSH: Hospitals*/classification , Hospitals*/standards , Urologic Surgical Procedures*/adverse effects , Urologic Surgical Procedures*/methods , Urologic Surgical Procedures*/statistics & numerical data, Patient Readmission/*statistics & numerical data , Postoperative Complications/*epidemiology, Aged ; Comorbidity ; Databases, Factual ; Diagnosis-Related Groups/statistics & numerical data ; Female ; France/epidemiology ; Hospitalization/statistics & numerical data ; Humans ; Length of Stay/statistics & numerical data ; Male ; Middle Aged ; Outcome Assessment, Health Care ; Postoperative Complications/prevention & control ; Risk Factors ; Sex Factors ; Time Factors
مستخلص: Background: Identifying the predictive factors for hospital readmission is required to target preventive measures.
Objective: To assess the rate of surgical readmissions after a urological procedure and the risk factors associated with readmission.
Design, Setting, and Participants: Data from all hospitalizations between January 2010 and November 2012 in France, regarding planned urological surgeries, were retrieved from the national medical database. To limit interactions between recent hospitalizations and surgical interventions, we selected only patients who were not hospitalized during the 12 mo preceding the urological procedure.
Outcome Measurements and Statistical Analysis: Primary outcome was the rate of readmissions within 30 d after urological surgery. The following risk factors for readmission were assessed: sex, age, diagnosis-related group, length of stay of initial hospitalization, type of hospitalization (conventional or day surgery), hospital volume activity, hospital volume for day surgery, and hospital status. Logistic regression multivariate analysis was used to assess risk factors.
Results and Limitations: Overall, 419 787 patients were included among whom 77 241 patients (18.40%) were readmitted within the following 30 d. After multivariate analyses, male sex (odds ratio [OR]=1.84, confidence interval [CI] 95%: 1.81-1.88), high level of comorbidity (diagnosis-related group 3-4 vs 1-2: OR=2.14, CI 95%: 2.10-2.21), and initial management in a private hospital (private vs university hospital: OR=1.13, CI 95%: 1.11-1.16; private vs public general hospital: OR=1.21, CI 95%: 1.18-1.23) were associated with a higher risk of readmission within 30 d.
Conclusions: Reported readmission rate within 30 d after a planned a urological procedure was nearly 20%.
Patient Summary: In this French national study, we investigated the readmission rate within 30 d after a planned urological procedure in a large French population and discovered it was nearly 20%.
(Copyright © 2017 European Association of Urology. Published by Elsevier B.V. All rights reserved.)
فهرسة مساهمة: Keywords: Hospital status; Length of stay; Patient readmission; Surgical volume; Urologic surgical procedure
تواريخ الأحداث: Date Created: 20170730 Date Completed: 20190412 Latest Revision: 20191210
رمز التحديث: 20221213
DOI: 10.1016/j.euf.2017.06.001
PMID: 28753813
قاعدة البيانات: MEDLINE
الوصف
تدمد:2405-4569
DOI:10.1016/j.euf.2017.06.001