Hospital readmission after trauma : An analysis of Outpatient complications. Discussion.
Annual Meeting of the American Association for the Surgery of Trauma. Houston, Texas (USA), 1996/09/19.
Outpatient complications leading to hospital readmission after hospitalization for trauma have not been examined.
A retrospective chart review of all trauma victims admitted to a Level 1 trauma center from January of 1990 to January of 1995 was performed to characterize patients who required readmission after hospitalization for trauma.
Risk factors for readmission were determined by stepwise regression analysis.
Of 15,463 trauma admissions, 209 patients (1.4%) required readmission, 84% within 30 days, 71% within 14 days.
Reasons for readmission included wound (29%), abdominal (29%), pulmonary (18%), and thromboembolic (19%) complications.
Fifty of the patients (24%) readmitted with a complication required an operation.
Risk factors for readmission included : operation during first hospitalization (p<0.0001), penetrating injury (p=0.0001), and advanced age (p=0.0001).
Injury Severity Score, length of hospitalization, and gender were not independent predictors of readmission.
Outpatient complications leading to readmission after hospitalization for trauma are not common ; however, many are serious and require operative intervention.
Because most complications were identified by the second week after discharge, outpatient follow-up visits should be scheduled within 7 to 14 days. (...)
Mots-clés Pascal : Traumatisme, Traitement, Hospitalisation, Sortie hôpital, Complication, Incidence, Epidémiologie, Facteur risque, Homme, Réhospitalisation
Mots-clés Pascal anglais : Trauma, Treatment, Hospitalization, Hospital discharge, Complication, Incidence, Epidemiology, Risk factor, Human
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Cote : 97-0387151
Code Inist : 002B16N. Création : 12/09/1997.