Readmission predicts 90-day mortality after esophagectomy: Analysis of Surveillance, Epidemiology, and End Results Registry linked to Medicare outcomes

摘要: Abstract Objectives Postoperative readmission is an increasingly scrutinized quality metric that affects patient satisfaction and cost. Even more important its implication for short-term prognosis. The purpose of this study to characterize postesophagectomy readmissions determine their relationship with subsequent 90-day mortality. Methods Data were extracted esophagectomy patients from the linked SEER–Medicare Registry (2000-2009), which provides longitudinal information about Medicare beneficiaries who have cancer. We assessed demographics, comorbidities, 30-day readmission, Readmitting facility diagnoses identified. A hierarchic multivariable regression model clustered at hospital level between within 30 days discharge Results identified 1543 discharged alive after esophagectomy. Among alive, rate was 319 (20.7%); 107 (33.5%) facilities did not perform index operation. Mortality 90 days among 98 (6.4%). Readmission associated a 4-fold increase in mortality (16.3% vs 3.8%, P Conclusions Patients readmitted are exceptionally high risk early Early recognition of life-threatening essential providing optimal care.