Evaluation of the Rothman Index in Predicting Readmission after Colorectal Resection.
Journal
American journal of medical quality : the official journal of the American College of Medical Quality
ISSN: 1555-824X
Titre abrégé: Am J Med Qual
Pays: Netherlands
ID NLM: 9300756
Informations de publication
Date de publication:
01 11 2023
01 11 2023
Historique:
medline:
2
11
2023
pubmed:
1
11
2023
entrez:
1
11
2023
Statut:
ppublish
Résumé
The Rothman Index (RI) is a real-time health indicator score that has been used to quantify readmission risk in several fields but has never been studied in gastrointestinal surgery. In this retrospective single-institution study, the association between RI scores and readmissions after unplanned colectomy or proctectomy was evaluated in 427 inpatients. Patient demographics and perioperative measures, including last RI, lowest RI, and increasing/decreasing RI score, were collected. In the selected cohort, 12.4% of patients were readmitted within 30 days of their initial discharge. Last RI, lowest RI, decreasing RI, and increasing RI scores remained significant after controlling for covariates in separate multivariate regression analyses. The last RI score at the time of discharge was found to be the most strongly associated with 30-day readmission risk following colorectal resection. These findings support the RI as a potential tool in the inpatient management of postoperative patients to identify those at high risk of readmission.
Identifiants
pubmed: 37908031
doi: 10.1097/JMQ.0000000000000149
pii: 00008488-202311000-00003
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
287-293Informations de copyright
Copyright © 2023 the American College of Medical Quality.
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