Faculty Collaboration Database

Weekend readmissions associated with mortality following pancreatic resection for cancer. Surg Oncol 2020 Sep;34:218-222

Date

09/07/2020

Pubmed ID

32891334

DOI

10.1016/j.suronc.2020.05.001

Scopus ID

2-s2.0-85085029998 (requires institutional sign-in at Scopus site)   2 Citations

Abstract

BACKGROUND: The weekend effect is associated with an increased risk of adverse events, with complex patient populations especially susceptible to its impact. The objective of this study was to determine if outcomes for patients readmitted following pancreas resection differed on the weekend compared to weekdays.

METHODS: The Healthcare Cost and Utilization State Inpatient Database for Florida was used to identify patients undergoing pancreas resection for cancer who were readmitted within 30 days of discharge following surgery. Measured outcomes (for readmission encounters) included inpatient morbidity and mortality.

RESULTS: Patients with weekend readmissions had an increased odds of inpatient mortality (aOR 2.7, 95% C.I.: 1.1-6.6) compared to those with weekday readmissions despite having similar index lengths of stay (15.9 vs. 15.5 days, P = .73), incidence of postoperative inpatient complications (22.4% vs. 22.3%, P = .98), reasons for readmission, and baseline comorbidity.

DISCUSSION: Weekend readmissions following pancreatic resection are associated with increased risk of mortality. This is not explained by measured patient factors or clinical characteristics of the index hospital stay. Developing strategies to overcome the weekend effect can result in improved care for patients readmitted on the weekend.

Author List

Kothari AN, Qu LT, Gil LA, di Chiaro B, Sweigert PJ, Kulshrestha S, Kuo PC, Abood GJ

Author

Anai N. Kothari MD Assistant Professor in the Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Aged
Databases, Factual
Female
Follow-Up Studies
Humans
Incidence
Length of Stay
Male
Neoplasms
Pancreatectomy
Patient Readmission
Postoperative Complications
Prognosis
Risk Assessment
Risk Factors
Survival Rate
Time Factors
United States