Determinants of 90-day readmission following ventral hernia repair with and without myocutaneous flap reconstruction: A national readmissions database analysis
Surgical Endoscopy Oct 02, 2020
Feimster JW, Ganai S, Scaife S, et al. - Readmission rates for patients undergoing standard vs complex (myocutaneous flap-based) ventral hernia repair were determined. Using the National Readmissions Database, they performed a retrospective cohort study with 1:1 matching of hernia repair type. They matched 3,116 standard ventral hernia repair patients with 3074 complex ventral hernia repair patients. Outcomes revealed higher readmission rates among patients undergoing myocutaneous flap-based reconstruction than those undergoing less complex ventral hernia repair. Payer status indicated socioeconomic disparity that is particularly identified to be a strong predictor of readmission. The data support the notion that focused efforts are required to optimize patient outcomes for patients necessitating more complex repair, including socioeconomically disadvantaged patient populations.
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