Unplanned readmission after colorectal surgery is a relatively frequent event, knowledge of which often is inaccurate.
Dr Guinier and colleagues from France designed this study to examine the incidence and causes of readmissions 3 months after colorectal surgery.
The research team determined the criteria that could predict the readmissions.
|27% were readmitted once after a mean period of 53 days|
|Diseases of the Colon & Rectum|
The team evaluated 1421 patients from 2002 in a prospective, multicenter study performed by the Association Francaise de Chirurgie.
The research team determined mortality and morbidity after colorectal surgery for elective or emergency surgical management of diverticular disease or cancer.
The researchers found that 27% of patients were readmitted once after a mean period of 53 days.
Among the readmissions, 20% were planned and 8% were unplanned, mainly for septic complications.
The team found with the multivariate logistic regression analysis, 5 independent factors were significantly associated with a higher risk of unplanned readmission.
Surgical field contamination, long duration of operation, and need for an associated surgical procedure were associated with increased readmissions.
The researchers noted that hemoglobin levels less than 12 g/dl, and the absence of air testing after colorectal anastomosis were associated with readmission.
Dr Guinier's team concluded, "The study permitted to individualize several factors significantly associated with a higher risk of unplanned readmission after colorectal surgery."