Turina et al reported risk factors for early, unplanned readmisson in patients who have had a rectal resection. These can help to identify a patient who may benefit from more aggressive management. The authors are from the Cleveland Clinic.
Reasons for readmission were most often:
(1) surgical site infection (SSI)
(2) dehydration
(3) anastomotic leak
Independent risk factors for readmission from multivariate analysis:
(1) prolonged surgery
(2) minimally invasive surgery
(3) inflammatory bowel disease
Number of Risk Factors
Readmission Rate
0
7%
1
13%
2 or 3
27%
Additional risk factors:
(1) use of corticosteroids
(2) serious comorbid condition
(3) contamination of surgical site during surgery
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