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Possible Preventable Causes of Unplanned Readmission After Elective Liver Resection, Results from a Non-academic Referral HPB Center

de Klein, G. W., Brohet, R. M., Liem, M. S. L. & Klaase, J. M., Jul-2019, In : World Journal of Surgery. 43, 7, p. 1802-1808 7 p.

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  • Possible Preventable Causes of Unplanned Readmission After Elective Liver Resection, Results from a Non-academic Referral HPB Center

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DOI

IntroductionUnplanned readmission is a common event after liver resection, and it is a burden for both patients and healthcare policy makers. This study evaluates the incidence of and reasons for unplanned readmission after liver resection, in order to identify possible preventable causes.MethodsIn this single-center cohort study, data from patients who underwent liver resection for both malignant and benign indications from 2001 to 2016 at our institute were collected from a database with prospective data. Readmissions were analyzed for their reasons and risk factors. Patients with general complaints with no specific complications were categorized as failure to thrive.ResultsIn 406 patients, the readmission rate was 11.6%. Most patients were readmitted because of failure to thrive (35%), deep and superficial surgical site infection (28%), or cardiopulmonary complications (15%). A multivariate analysis revealed that unplanned readmission was associated with the occurrence of complications during index admissionwith an odds ratio of 4.69 (CI 2.41-9.12, p

Original languageEnglish
Pages (from-to)1802-1808
Number of pages7
JournalWorld Journal of Surgery
Volume43
Issue number7
Publication statusPublished - Jul-2019

    Keywords

  • ENHANCED RECOVERY PROGRAM, HEPATIC RESECTION, HEPATECTOMY, SURGERY

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