Oplanerade återinläggningar på kirurgisk klinik. Frekvens, orsaker och åtgärder analyserade i en ettårsstudie från Linköping
Engelsk titel: Unplanned readmissions to surgery departments. Frequency, causes and measures analyzed in a 1-year study from Linköping
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Författare:
Wallon, Conny
;
Juhlin, Claes
;
Melander, Helen
;
Sjödahl, Rune
Email: conny.wallon@lio.se
Språk: Swe
Antal referenser: 10
Dokumenttyp:
Artikel
UI-nummer: 10061244
Sammanfattning
Rehospitalizations within 30 days in surgical patients were analysed. Out of totally 2,997 admittances 187 patients (6,6 %) were readmitted. After primary surgery or other treatments 98 (3.5 %) resp. 89 (3.1 %) were rehospitalized and no difference regarding frequency was seen between those who underwent primary elective or acute surgery.
Abdominal pain was the major cause of readmittance both for patients that had undergone surgery or not.
The majority of patients operated at their initial stay needed active interventions such as wound debridment, antibiotic treatment, reoperation, or endoscopy. A high proportion of patients who had undergone colonic surgery or been operated for perforated appendicitis were readmitted (17.3 % resp 17.2 %).
For these groups of patients a more accurate and frequent surveillance may be required. Similarly the need for active treatment was seen for the majority of patients not operated on their first admission. These patients often need early elective surgical procedures or endoscopy but that may not be performed due to deficiences of the organisation.