Study: 10 pediatric operations with highest 30-day unplanned readmission rates

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A study, published in JAMA Surgery, examined the surgical procedures and patient factors associated with increased readmission rates following pediatric surgery.

For the study, researchers conducted a retrospective review of data from the American College of Surgeons NSQIP-P Participant Use Data File from 2012 to 2014. The data includes children younger than 18 years at 56 children's hospitals in the United States.

Of the 183,233 patients included in the study, 4.8 percent were readmitted within 30 days and 8.1 percent of readmitted patients had more than one readmission within 30 days.

Most of the readmissions (84.3 percent) were unplanned. The top 10 surgical operations with the highest readmission rates within 30 days were:

●    Laparoscopic ileostomy/jejunostomy: 28.8 percent
●    Portoenterostomy: 23.4 percent
●    Diagnostic thoracoscopy: 22.7 percent
●    Renal biopsy (surgical exposure): 22.2 percent
●    Total laparoscopic colectomy with proctectomy and ileoanal anastomosis: 21.9 percent
●    Retroperitoneal exploration: 21.5 percent
●    Intracranial neuroendoscopy: 20.5 percent
●    Total abdominal colectomy with proctectomy and ileoanal anastomosis: 20. 5 percent
●    Partial abdominal colectomy with proctectomy and ileoanal anastomosis: 20 percent
●    Replacement or irrigation of ventricular catheter: 19.8 percent

The median time to readmission within 30 days was 13 days.

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