The association between ICU admission and emergency hospital readmission following emergency general surgery.

ABSTRACT: Background:The relationship between postoperative intensive care (ICU) admission following emergency general surgery (EGS) and emergency hospital readmission has not been widely investigated. Methods:Retrospective analysis of registry data for patients undergoing EGS in Scotland, 2005-2007. Exposure of interest was ICU admission status (direct from theatre; indirect after initial care on ward; no ICU admission). The primary outcome was emergency hospital readmission within 30 days of discharge. Results:Thirty-seven thousand one hundred seventy-three patients were included in the analysis. Overall emergency readmission rate was 8% (n?=?2983): 2756 (7.8%) in patients without postoperative ICU admission; 155 (12.1%) with direct ICU admission and 65 (14.7%) with indirect ICU admission. Indirect ICU admission was associated with increased hospital readmission rates (HR 1.24 [1.03, 1.49]; p?=?0.024) compared with direct ICU admission. ICU admission was associated with increased three-year readmission rates (p?=?0.006) and costs (p?

SUBMITTER: Gillies MA 

PROVIDER: S-EPMC6820227 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature