Our Summary

This research paper looks at the problem of unplanned readmissions (URs) to hospital after colorectal surgery, which are common, costly, and often due to delays in recovery. The researchers wanted to find out what factors could predict these readmissions, as this would help to prevent them and better manage healthcare resources.

They looked at studies published in English between 1996 and 2022, and out of 625, they included 20 in their final analysis. They found that the rate of patients being readmitted within 30 days of their surgery ranged from 6% to 22.8%.

The strongest factor predicting readmission before surgery was having other health problems (comorbidity). During surgery, the most significant factor was the creation of a stoma (an opening on the abdomen to divert waste from the body). After surgery, complications were the strongest overall predictor of readmission.

They concluded that these factors - comorbidity, stoma formation, and complications after surgery - are clinically relevant predictors of readmission after colorectal surgery. These can be identified before the patient leaves the hospital and can help in planning strategies to reduce readmission risks. This can lead to more efficient use of healthcare resources.

FAQs

  1. What was the purpose of this research about unplanned readmissions after colorectal surgery?
  2. What factors were found to be the strongest predictors of readmission after colorectal surgery?
  3. How can the results of this study help reduce the risk of readmission after colorectal surgery and improve the use of healthcare resources?

Doctor’s Tip

One helpful tip a doctor might tell a patient about colorectal surgery is to carefully follow post-operative instructions, including taking medications as prescribed, maintaining a healthy diet, avoiding strenuous activities, and attending follow-up appointments. By following these instructions, patients can help reduce the risk of complications and potential readmission to the hospital. It’s important to communicate any concerns or changes in symptoms to your healthcare provider to ensure a smooth recovery process.

Suitable For

Patients who are older, have other health problems, undergo stoma formation during surgery, and experience complications after surgery are typically recommended colorectal surgery. These factors can increase the risk of unplanned readmissions to the hospital, so identifying them early on can help in preventing readmissions and improving patient outcomes.

Timeline

Before colorectal surgery:

  • Patient meets with surgeon to discuss procedure and potential risks
  • Patient undergoes preoperative testing and preparation
  • Patient may need to make lifestyle changes or follow a special diet
  • Patient may have preoperative consultations with other healthcare providers
  • Patient may need to stop taking certain medications before surgery

After colorectal surgery:

  • Patient is monitored closely in the hospital for complications
  • Patient may need pain management and wound care
  • Patient gradually resumes eating and drinking
  • Patient may need physical therapy to regain strength and mobility
  • Patient may need to follow a specific postoperative care plan, including medication management and follow-up appointments
  • Patient may experience side effects or complications, such as infection or bowel obstruction, which may require readmission to the hospital.

What to Ask Your Doctor

Some questions a patient should ask their doctor about colorectal surgery include:

  1. What are the potential complications associated with this surgery?
  2. How long is the expected recovery time after surgery?
  3. Will I need to have a stoma created during the surgery?
  4. What can I do to minimize the risk of complications and readmission after surgery?
  5. How often will I need to follow up with you after the surgery?
  6. Are there any specific lifestyle changes or dietary restrictions I should follow post-surgery?
  7. What signs or symptoms should I watch for that could indicate a problem after surgery?
  8. Will I need any additional treatments or therapies after the surgery?
  9. What is the likelihood of needing a readmission to the hospital after the surgery?
  10. How can I best prepare myself physically and emotionally for the surgery and recovery process?

Reference

Authors: D’Souza J, Richards S, Eglinton T, Frizelle F. Journal: PLoS One. 2023 Nov 16;18(11):e0293806. doi: 10.1371/journal.pone.0293806. eCollection 2023. PMID: 37972100