Comparison of 30-day emergency department bouncebacks after pediatric versus adult urologic surgery.

摘要: Summary Introduction More pediatric patients seem to present the emergency department (ED) for non-urgent matters after urologic procedures than adult patients. Under new and expanding healthcare reform, urologists may be penalized these visits. We compare our 30-day postoperative bounceback rates ED acuity of concerns in populations. Materials methods All urology consults at institution are maintained on a prospectively tracked database. identified all who presented or between July 2013 June 2015 within 30 days procedure. investigated patient demographics including age, race, insurance, distance from home zip code ED, performed, chief complaint diagnosis, treatment required. Results In group, there were 67 visits 56 (19 female, 37 male, mean age 6.8 years), which represents an overall incidence 2.7%. Of those, 19% required admission (0.60% readmission rate), 10% underwent procedure (0.32% reoperative rate, 18% catheter manipulation/placement, 13% given prescription (most commonly constipation), 6% local wound care, 33% reassured only). Most had private insurance (62.5%) those with uninsured tended require only reassurance compared Medicare/Medicaid (p = 0.053). population, 369 310 (111 199 55.4 years) 4.4%. 42% admitted (2.2% 14% (0.74% 11% medication antibiotics narcotics), 4% 12% reassured. (48.7%), but type was not related (p = 0.382). On multivariable analysis, patients, closer proximity hospital, earlier day presentation predictive requiring reassurance. Conclusions Compared adults, less likely return postoperatively (p  Download : high-res image (353KB) full-size Figure . common performed (above) (below) returned surgery.