Emergency room visits and readmissions after pediatric urologic surgery.

摘要: Abstract Objective Reducing readmissions has become a focal point to increase quality of care while reducing costs. We report all-cause unplanned return visits following urologic surgery in children at our institution. Materials and methods Children undergoing urology procedures with returns within 30 days were identified. Patient demographics, insurance status, type surgery, reason for assessed. Results Four thousand ninety-seven pediatric surgeries performed institution during 2012, 106 documented (2.59%). Mean time from discharge was 5.9 ± 4.9 (range, 0.3–24.8 days). Returns classified by chief complaint, including pain (32), infection (30), volume status (14), bleeding (11), catheter concern (8), other (11). Circumcision, hypospadias repair, inguinal/scrotal led the majority visits, accounting 21.7%, 20.7%, 18.9% returns, respectively. Twenty-two (20.75%) resulted hospital readmission five (4.72%) required secondary procedure. Overall rate 0.54%, reoperation 0.12%. Conclusions The postoperative population is low, further strengthening argument that rates are not necessarily productive financial savings or control.