UNASSIGNED: 274 Background: Hospital readmissions have recently been identified as a benchmark for quality of care. @entity1820 surgeries are complex and associated with higher rates of post-operative complications and hospital readmissions. Identifying factors associated with readmission could allow for strategies to reduce readmissions. METHODS: @entity1 undergoing pancreatic (n=43), esophageal (n=20), gastric (n=14), and rectal (n=22) @entity5 resections were evaluated to assess if initial inpatient post-operative complications predispose @entity1 to hospital readmission within 30 days. @entity1 ' charts were audited by a clinical quality specialist and complications stratified by using the Clavien Classification Schema. Hospital readmission causes were categorized as surgical procedure specific, general @entity260 , @entity11360 , or general medical problem. Data were analyzed using the @entity16043 's Exact test. RESULTS: A total of 99 @entity1 underwent @entity1820 resections (Male:female 56:43, median age 65) between January 2010 and April 2012, and 20% were readmitted within 30 days. Of those readmitted, six had no complications in the initial hospitalization, eight had minor complications, and six had major complications, Table. When examining reasons for readmission, the majority of @entity1 were surgical procedure specific (50%), such as @entity834 or @entity733 . CONCLUSIONS: Our data demonstrate that @entity260 during initial hospitalization did not predict hospital readmissions. Readmissions, however, appear related to surgical specific complications that develop after an uneventful initial hospitalization. The goal of shorter hospitalizations following complex @entity1820 surgery may result in unavoidable readmissions related to delayed presentation of procedure specific complications. [Table: see text].

XXXX as a predictor of 30-day hospital readmission following gastrointestinal @entity5 surgery.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity834 :: ('MESH:D057868', 'Disease') :: ['anastomotic leaks'] @entity11360 :: ('MESH:D005183', 'Disease') :: ['failure to thrive'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complications', 'postoperative complication'] @entity1820 :: ('MESH:D005770', 'Disease') :: ['Gastrointestinal (GI) cancer', 'GI tumor', 'GI cancer'] @entity733 :: ('MESH:D000038', 'Disease') :: ['abscesses'] @entity16043 :: ('76720', 'Species') :: ['Fisher']
@entity260 :: (MESH:D011183,Disease) :: ['Postoperative complications']
