Jukić Miro, Antišić Jelena, Pogorelić Zenon
Clinic of Pediatric Surgery, University Hospital of Split, Split, Croatia.
Department of Surgery, University of Split, School of Medicine, Split, Croatia.
Acta Chir Belg. 2023 Feb;123(1):26-30. doi: 10.1080/00015458.2021.1927657. Epub 2021 May 13.
Evaluation and comparison 30-day readmission rate () from discharge within three year period and to note could it be a in pediatric surgery.
The case records of the patients that were readmitted within 30 days of primary surgery from January 12017 to December 312019 were identified retrospectively, for each year separately. Demographic data, diagnosis and the treatment on primary admission, length of hospital stay, and diagnosis with treatment on readmission, were collected. For each year readmissions were identified and divided into two groups (emergency and elective) based on the nature of the primary surgery. Outcomes were compared between two groups.
A total of 5392 admissions were identified among three years (2017, = 1821; 2018, = 1806; 2019, = 1765). There was 1014(55.6%) elective admissions in 2017, 953(52.8%) in 2018 and 950(53.8%) in 2019. The overall rate was 0.82%, 0.99% and 0.57% for years 2017, 2018 and 2019, respectively ( = 0.348). The most common cause for readmission was appendicitis related followed by surgical site infection in different subfields. The share of the number of readmissions during the three-year period is 3.2 times higher for emergency admissions than for elective admissions ( < 0.001). The majority(>75%) of all readmission in all three years occurred in children above age of eight. Male gender was significantly more frequently associated with readmission(74.4%)( < 0.001).
is a reproducible and good quality-of-care indicator in pediatric surgery. An incidence of is significantly higher in emergency admissions and an appendectomy is the most common procedure associated with .
评估和比较三年期间出院后30天再入院率（），并探讨其是否为小儿外科的一个（指标）。
回顾性确定2017年1月至2019年12月初次手术后30天内再次入院患者的病历，每年分别进行。收集人口统计学数据、初次入院时的诊断和治疗、住院时间以及再次入院时的诊断和治疗。每年确定再入院患者，并根据初次手术的性质分为两组（急诊和择期）。比较两组的结果。
三年共确定5392例入院病例（2017年，=1821例；2018年，=1806例；2019年，=1765例）。2017年有1014例（55.6%）择期入院，2018年有953例（52.8%），2019年有950例（53.8%）。2017年、2018年和2019年的总体（再入院率）分别为0.82%、0.99%和0.57%（=0.348）。再入院最常见的原因是阑尾炎相关，其次是不同亚领域的手术部位感染。三年期间急诊入院的再入院人数是择期入院的3.2倍（<0.001）。所有三年中，大多数（>75%）再入院发生在8岁以上儿童。男性再入院的频率明显更高（74.4%）（<0.001）。
（再入院率）是小儿外科中一个可重复且质量良好的护理指标。急诊入院时（再入院率）的发生率明显更高，阑尾切除术是与（再入院）相关最常见的手术。
