Postoperative Rehabilitation May Reduce the Risk of Readmission after Groin Hernia Repair

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

  • Grégoire Mercier
  • Jessica Spence
  • Christelle Ferreira
  • Jean Marc Delay
  • Charles Meunier
  • Bertrand Millat
  • Nguyen, Long
  • Fabienne Seguret

Thirty-day readmission after surgery has been proposed as a quality-of-care indicator. We explored the effect of postoperative rehabilitation on readmission risk after groin hernia repair. We used the French National Discharge Database to identify all index hospitalizations for groin hernia repair in 2011. Readmissions within 30 days of discharge were clinically classified in terms of their relationship to the index stay. We used logistic regression to adjust the risk of readmission for patient, procedure and hospital factors. Among 122,952 index hospitalizations for inguinal hernia repair, 3,357 (2.7%) related 30-day readmissions were recorded. Reiterated analyses indicated that readmission risk was consistently associated with patient complexity: age (per year after 60 years, OR 1.03, 95% CI 1.02-1.03, P < 0.001), hospitalization within the previous year (OR 1.56, 95% CI 1.44-1.69, P < 0.001), and increasing severity and combination of co-morbidities. Postoperative rehabilitation was identified as a protective factor (OR 0.56, 95% CI 0.46-0.69, P < 0.001). Older patients and those with greater comorbidity are at elevated risk of readmission after inguinal hernia repair. Postoperative rehabilitation may reduce this risk. Further studies are warranted to confirm the protective effect of postoperative rehabilitation.

OriginalsprogEngelsk
Artikelnummer6759
TidsskriftScientific Reports
Vol/bind8
Udgave nummer1
ISSN2045-2322
DOI
StatusUdgivet - 2018
Eksternt udgivetJa

ID: 218396271