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

Abstract 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...

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Autores principales:	Grégoire Mercier, Jessica Spence, Christelle Ferreira, Jean-Marc Delay, Charles Meunier, Bertrand Millat, Tri-Long Nguyen, Fabienne Seguret
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2018
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/e1de8931f26a4298ae8ff2c18acf1ac1
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spelling	oai:doaj.org-article:e1de8931f26a4298ae8ff2c18acf1ac12021-12-02T16:08:01ZPostoperative Rehabilitation May Reduce the Risk of Readmission After Groin Hernia Repair10.1038/s41598-018-25276-02045-2322https://doaj.org/article/e1de8931f26a4298ae8ff2c18acf1ac12018-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-018-25276-0https://doaj.org/toc/2045-2322Abstract 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.Grégoire MercierJessica SpenceChristelle FerreiraJean-Marc DelayCharles MeunierBertrand MillatTri-Long NguyenFabienne SeguretNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 8, Iss 1, Pp 1-8 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Grégoire Mercier Jessica Spence Christelle Ferreira Jean-Marc Delay Charles Meunier Bertrand Millat Tri-Long Nguyen Fabienne Seguret Postoperative Rehabilitation May Reduce the Risk of Readmission After Groin Hernia Repair
description	Abstract 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.
format	article
author	Grégoire Mercier Jessica Spence Christelle Ferreira Jean-Marc Delay Charles Meunier Bertrand Millat Tri-Long Nguyen Fabienne Seguret
author_facet	Grégoire Mercier Jessica Spence Christelle Ferreira Jean-Marc Delay Charles Meunier Bertrand Millat Tri-Long Nguyen Fabienne Seguret
author_sort	Grégoire Mercier
title	Postoperative Rehabilitation May Reduce the Risk of Readmission After Groin Hernia Repair
title_short	Postoperative Rehabilitation May Reduce the Risk of Readmission After Groin Hernia Repair
title_full	Postoperative Rehabilitation May Reduce the Risk of Readmission After Groin Hernia Repair
title_fullStr	Postoperative Rehabilitation May Reduce the Risk of Readmission After Groin Hernia Repair
title_full_unstemmed	Postoperative Rehabilitation May Reduce the Risk of Readmission After Groin Hernia Repair
title_sort	postoperative rehabilitation may reduce the risk of readmission after groin hernia repair
publisher	Nature Portfolio
publishDate	2018
url	https://doaj.org/article/e1de8931f26a4298ae8ff2c18acf1ac1
work_keys_str_mv	AT gregoiremercier postoperativerehabilitationmayreducetheriskofreadmissionaftergroinherniarepair AT jessicaspence postoperativerehabilitationmayreducetheriskofreadmissionaftergroinherniarepair AT christelleferreira postoperativerehabilitationmayreducetheriskofreadmissionaftergroinherniarepair AT jeanmarcdelay postoperativerehabilitationmayreducetheriskofreadmissionaftergroinherniarepair AT charlesmeunier postoperativerehabilitationmayreducetheriskofreadmissionaftergroinherniarepair AT bertrandmillat postoperativerehabilitationmayreducetheriskofreadmissionaftergroinherniarepair AT trilongnguyen postoperativerehabilitationmayreducetheriskofreadmissionaftergroinherniarepair AT fabienneseguret postoperativerehabilitationmayreducetheriskofreadmissionaftergroinherniarepair
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Postoperative Rehabilitation May Reduce the Risk of Readmission After Groin Hernia Repair

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