Perioperative medicine & outcomes

Causes of and risk factors for unplanned readmission in a large cohort of patients undergoing major surgery: a retrospective cohort study

AnaesthesiaPublished Retrospective cohort study

Authors' conclusion

Our study identified the causes of readmission after major surgery from a range of surgical specialties.

Study context

Population
Patients who underwent major surgery at the authors' institution, 1 May 2011 to 1 February 2022
Participants
22,143 patients
Outcome
Unplanned readmission within 90 days of discharge after an index procedure: epidemiology, reasons and risk factors
Follow-up
90 days
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Unplanned readmission · within 90 days of discharge
Unplanned readmission
1801 (12%)
Most common cause overall: wound complication (primary cause, readmissions)
232 (11%)
Discharge haemoglobin < 100 g.l-1 associated with increased odds of unplanned readmission
p < 0.001
Hospital LOS 14-30 days associated with increased odds of unplanned readmission
p < 0.001
Charlson comorbidity index score ≥ 2 associated with increased odds of unplanned readmission
p < 0.001

Observational data: associations, not effects.

Original publication

Causes of and risk factors for unplanned readmission in a large cohort of patients undergoing major surgery: a retrospective cohort study. Anaesthesia. Published 16 February 2025. doi:10.1111/anae.16567

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