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  1. Hospital readmission after trauma : An analysis of Outpatient complications. Discussion.

    Article, Communication - En anglais

    Annual Meeting of the American Association for the Surgery of Trauma. Houston, Texas (USA), 1996/09/19.

    Background 

    Outpatient complications leading to hospital readmission after hospitalization for trauma have not been examined.

    Methods 

    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.

    Results 

    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.

    Conclusions 

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0387151

    Code Inist : 002B16N. Création : 12/09/1997.