Perioperative medicine & outcomes
Refining postoperative quality metrics: risk factors for emergency department visits within 3 days after hemorrhoidectomy
Authors' conclusion
The presence of thrombosed hemorrhoids and escalated analgesic use may signal patients at risk for very early unplanned revisits.
Study context
- Population
- Patients undergoing conventional hemorrhoidectomy for grade III or IV hemorrhoids, Lotung Poh-Ai Hospital, 2021–2023
- Participants
- 662 patients
- Outcome
- Return to the ED within 3 days of discharge
- Follow-up
- 3 days
Methodological detailssingle-centre, multivariate logistic regression
- Single-centre
- Multivariate logistic regression
Main finding
As reported in the abstract
Return to the ED within 3 days
Adjusted odds ratio (95% CI)P value
Thrombosed hemorrhoids
3.05(1.56–5.96)
P = 0.001Use of ≥ 2 postoperative analgesics
3.96(1.99–7.84)
P < 0.001- Returned to the emergency department (ED) within 3 days
- 46 (6.95%)
Observational data: associations, not effects.
Further findings
Presenting symptom at ED revisit
- Severe wound pain (most common)
- 78.3%
Original publication
Refining postoperative quality metrics: risk factors for emergency department visits within 3 days after hemorrhoidectomy. Perioper Med (Lond). Published 30 September 2025. doi:10. 1186/ s13741-025-00583-z
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