Early discharge and readmission after colorectal resection.

摘要: Abstract Background Emphasis on the provision of high quality, cost-effective healthcare has meant increasing efforts at reducing postoperative length stay while 30-d readmission rates. The aim this study was to identify factors associated with early discharge (ED) and evaluate effectof ED after colorectal resection. Materials methods We identified all inpatients aged ≥18 y who underwent a resection in American College Surgeons National Surgical Quality Improvement Program Participant Use File, 2011. defined as ≤25th percentile by procedure (rectal resection, open colectomy, laparoscopic colectomy). Multivariate logistic regression used significantly readmission. A subset analysis performed type. Results Of 28,532 patients, 2171 (7%) rectal 14,976 (52%) 11,385 (40%) colectomy an or before days 5, 3, respectively. overall cohort included patients mean age 61 y. total 52% were women 37% cancer patients. Age >65 y, recent steroid use, simultaneous ostomy creation, nonelective surgery, need for reoperation, occurrence reduced likelihood ED. rate 12%. Patients discharged less likely be readmitted (odds ratio, 0.77; 95% confidence interval, 0.70–0.84). Conclusions In appropriate patient population, surgery may implemented without any adverse effect