Analysis of 30-day readmissions among neurosurgical patients: surgical complication avoidance as key to quality improvement

摘要: Object In terms of measuring quality care and hospital performance, an outcome increasing interest is the 30-day readmission rate. Recent health policy making has highlighted necessity understanding factors that influence readmission. To elucidate rate, reason, predictors readmissions at a tertiary/quaternary neurosurgical service, authors studied for Department Neurosurgery two University California, Los Angeles (UCLA), hospitals. Methods Over 3-year period, retrospectively identified adult pediatric patients who had been discharged from UCLA Medical Center after having undergone major procedure being readmitted within 30 days. Data were obtained on demographics, follow-up findings, diagnosis reason readmission, operations performed, length stay during index admission Reasons broadly categorized into surgical, medical diagnosis/complica...