急诊普通外科30天再入院的评估：是否可以预防？

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-08-13 DOI:10.1016/j.amjsurg.2025.116553

Halen Turner, Danielle Wilson, Alexandra Johnson, Morgan Tentis, Colleen Trevino, Rachel Morris, Daniel Holena, Patrick Murphy

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引用次数: 0

摘要

与接受选择性手术的患者相比，接受急诊普通外科（EGS）服务的患者发病率和死亡率更高。15%的EGS招生发生意外再入院；然而，这些再入院的可预防性在很大程度上仍然未知。方法：我们对2021年至2023年在EGS服务住院的患者进行了单中心回顾性研究，这些患者在30天内再次入院。主要结果是可预防再入院的百分比，定义为可采取门诊干预措施的百分比。结果共入院患者1655例，其中30 d内再入院224例（14.1%）。再次入院的主要原因是需要对初次诊断进行额外的管理（38.4%）。在再次入院的患者中，只有11例（4.9%）由于疼痛控制或教育不足等问题被确定为可预防的。结论再入院模式显示，大多数患者因初诊进展或并发症而再次入院，提示许多再入院可能是不可避免的。

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An evaluation of emergency general surgery 30-day readmissions: Are they preventable?

Introduction

Patients admitted to Emergency General Surgery (EGS) services suffer from increased morbidity and mortality compared to patients undergoing elective surgery. Unplanned readmissions occur in 15 % of EGS admissions; however, the preventability of these readmissions remains largely unknown.

Methods

We conducted a single-center, retrospective study of patients admitted to the EGS service from 2021 to 2023 who were readmitted within 30 days. The primary outcome was the percentage of preventable readmissions, defined as those with actionable outpatient interventions.

Results

1,655 patients were admitted to the EGS service, with 224 (14.1 %) readmitted within 30 days. The leading reason for readmission was the need for additional management of the initial diagnosis (38.4 %). Of the readmitted patients, only 11 (4.9 %) were identified as preventable due to issues such as inadequate pain control or education.

Conclusions

Readmission patterns showed that most patients returned due to the progression of the initial diagnosis or complications, suggesting that many readmissions may be unavoidable.

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.