Perioperative medicine & outcomes

Refining postoperative quality metrics: risk factors for emergency department visits within 3 days after hemorrhoidectomy

Perioper Med (Lond)Published Retrospective cohort study

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
Independent predictor
Adjusted odds ratio (95% CI)P value
Thrombosed hemorrhoids
3.05(1.56–5.96)
P = 0.001
Use 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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