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Evaluation of the Rothman Index in Predicting Readmission after Colorectal Resection. Am J Med Qual 2023 Nov 01;38(6):287-293

Date

11/01/2023

Pubmed ID

37908031

DOI

10.1097/JMQ.0000000000000149

Scopus ID

2-s2.0-85175675759 (requires institutional sign-in at Scopus site)   1 Citation

Abstract

The Rothman Index (RI) is a real-time health indicator score that has been used to quantify readmission risk in several fields but has never been studied in gastrointestinal surgery. In this retrospective single-institution study, the association between RI scores and readmissions after unplanned colectomy or proctectomy was evaluated in 427 inpatients. Patient demographics and perioperative measures, including last RI, lowest RI, and increasing/decreasing RI score, were collected. In the selected cohort, 12.4% of patients were readmitted within 30 days of their initial discharge. Last RI, lowest RI, decreasing RI, and increasing RI scores remained significant after controlling for covariates in separate multivariate regression analyses. The last RI score at the time of discharge was found to be the most strongly associated with 30-day readmission risk following colorectal resection. These findings support the RI as a potential tool in the inpatient management of postoperative patients to identify those at high risk of readmission.

Author List

Peterson KJ, O'Donnell CM, Eastwood DC, Szabo A, Hu KY, Ridolfi TJ, Ludwig KA, Peterson CY

Authors

Kirk A. Ludwig MD Chief, Professor in the Surgery department at Medical College of Wisconsin
Carrie Peterson MD, MS, FACS, FASCRS Associate Professor in the Surgery department at Medical College of Wisconsin
Timothy J. Ridolfi MD, MS, FACS Associate Professor in the Surgery department at Medical College of Wisconsin
Aniko Szabo PhD Professor in the Institute for Health and Equity department at Medical College of Wisconsin




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

Colectomy
Colorectal Neoplasms
Humans
Patient Readmission
Postoperative Complications
Retrospective Studies
Risk Factors
Time Factors