33
IRUS Total
Downloads

Avoidable 30‐day readmissions in patients undergoing vascular surgery

File Description SizeFormat 
BJS - Figure 1 - AUTHOR UPDATE.docxSupporting information25.92 kBMicrosoft WordView/Open
BJS - Figure 2 REVISED.docxSupporting information49.63 kBMicrosoft WordView/Open
BJS - Tabe 1 REVISED.docxSupporting information19.28 kBMicrosoft WordView/Open
BJS - Table 2 REVISED.docxSupporting information20.81 kBMicrosoft WordView/Open
Avoidable30DayReadmissionsInPatients.pdfPublished version238.5 kBAdobe PDFView/Open
Title: Avoidable 30‐day readmissions in patients undergoing vascular surgery
Authors: Knighton, A
Martin, G
Sounderajah, V
Warren, L
Markiewicz, O
Riga, C
Bicknell, C
Item Type: Journal Article
Abstract: Background: Vascular surgery has one of the highest unplanned 30-day readmission rates of all surgical specialities. The degree to which these may be avoidable and the optimal strategies to reduce their occurrence is unknown. The aim of this study was to identify and classify avoidable 30-day readmissions in patients undergoing vascular surgery in order to plan targeted interventions to reduce their occurrence, improve outcomes and reduce cost. Methods: A retrospective analysis of discharges over a 12-month period from a single tertiary vascular unit was performed. A multidisciplinary panel conducted a manual case note review to identify and classify those 30-day unplanned emergency readmissions deemed avoidable. Results: An unplanned 30-day readmission occurred in 72/885 (8.1%) admissions. These unplanned readmissions were deemed avoidable in 50.0% (36/72) and were most frequently due to unresolved medical issues (19/36, 52.8%) and inappropriate admission with the potential for outpatient management (7/36, 19.4%). A smaller number were due to inadequate social care provision (4/36, 11.1%) and the occurrence of other avoidable adverse events (4/36, 11.1%). Conclusion: Half of all 30-day readmissions in vascular patients are potentially avoidable. Multidisciplinary coordination of inpatient care and the transition from hospital to community care following discharge need to be improved.
Issue Date: Dec-2019
Date of Acceptance: 9-May-2019
URI: http://hdl.handle.net/10044/1/70510
DOI: 10.1002/bjs5.50191
ISSN: 2474-9842
Publisher: Wiley
Start Page: 759
End Page: 766
Journal / Book Title: BJS Open
Volume: 3
Issue: 6
Copyright Statement: © 2019 The Authors. BJS Open published by John Wiley & Sons Ltd on behalf of BJS Society Ltd This is an open access article under the terms of the Creative Commons Attribution ( https://creativecommons.org/licenses/by/4.0/ ) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Sponsor/Funder: National Institute of Health Research
Imperial College Healthcare NHS Trust- BRC Funding
Imperial College Healthcare NHS Trust- BRC Funding
Funder's Grant Number: RDB04 79560
RD207
Keywords: Science & Technology
Life Sciences & Biomedicine
Surgery
FOLLOW-UP VISITS
HOSPITAL READMISSIONS
INTERVENTION
DISCHARGE
QUALITY
SERVICE
RATES
Science & Technology
Life Sciences & Biomedicine
Surgery
FOLLOW-UP VISITS
HOSPITAL READMISSIONS
INTERVENTION
DISCHARGE
QUALITY
SERVICE
RATES
Publication Status: Published
Online Publication Date: 2019-08-02
Appears in Collections:Department of Surgery and Cancer