Readmission for venous thromboembolism after emergency general surgery is underreported and influenced by insurance status
The Journal of Trauma and Acute Care Surgery Dec 25, 2020
Rattan R, Cioci AC, Urréchaga EM, et al. - As previous studies of venous thromboembolism (VTE) after emergency general surgery (EGS) are not nationally representative nor do they fully incorporate readmissions to different hospitals. It was hypothesized that different-hospital readmission accounted for a significant number of readmissions with VTE after EGS and that there would be differences in predictive factors for same- and different-hospital readmissions. Researchers here queried the 2014 Nationwide Readmissions Database for nonelective EGS hospitalizations and identified 1,584,605 patients meeting inclusion criteria. Of these 1,584,605, 1.3% (n = 20,963) of patients were readmitted within 180 days with a VTE. One in three of these (28%; n = 5,866) ) were readmitted to a different hospital and may be missed by current quality metrics that only capture same-hospital readmission. Relative to public and nonprofit hospitals, for-profit hospital postoperative VTE rates may be underestimated by such metrics, which may potentially affect benchmarking and reimbursement. Postdischarge VTE rate is noted to be linked with insurance status.
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