Review
Nursing
Huaqiong Zhou, Irene Ngune, Matthew A. Albrecht, Phillip R. Della
Summary: The unplanned hospital readmission rate is high in mental health settings, causing delays in patient recovery and financial burden. Efforts have been made to reduce readmissions, but the results are inconclusive. This systematic review identifies risk factors associated with unplanned readmissions for mental illness patients. The complexity of predicting readmission for this population is highlighted.
INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING
(2023)
Article
Medicine, General & Internal
Motomori O. Lewis, Phuong T. Tran, Yushi Huang, Raj A. Desai, Yun Shen, Joshua D. Brown
Summary: Pneumonia is a major cause of hospitalization in pediatric patients, and its severity is associated with readmission rates. Severe pneumonia has higher readmission rates and higher hospital costs. Factors associated with readmission include pneumonia severity, immunosuppressive conditions, length of stay, and hospital case volume.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Oncology
Ling-Jan Chiou, Hsiu-Min Chen, Li-Fei Pan, Ching-Chih Lee
Summary: This study found that weekend discharge after major surgery did not significantly affect the 30-day readmission rates in cancer patients, but the holiday ratio had an impact on the 30-day potentially avoidable readmission rates for colon cancer patients.
Article
Multidisciplinary Sciences
Laura Arnal, Pedro Pons-Suner, J. Ramon Navarro-Cerdan, Pablo Ruiz-Valls, Ma Jose Caballero Mateos, Bernardo Valdivieso Martinez, Juan-Carlos Perez-Cortes
Summary: Unplanned hospital readmissions are burdensome for health systems. This paper proposes a machine learning classification and risk stratification approach to estimate readmission risk and provide a decision support system based on patient risk scores.
Article
Biochemistry & Molecular Biology
Linji Li, Linna Wang, Li Lu, Tao Zhu
Summary: This study aimed to investigate the use of machine learning approaches for predicting postoperative unplanned 30-day hospital readmission in elderly surgical patients. Different machine learning algorithms were evaluated, and the RF + XGBoost algorithm showed the best performance. The study also identified five important features for prediction.
FRONTIERS IN MOLECULAR BIOSCIENCES
(2022)
Article
Clinical Neurology
Jose A. Canseco, Brian A. Karamian, Paul D. Minetos, Taylor M. Paziuk, Alyssa Gabay, Ariana A. Reyes, Joseph Bechay, Kevin B. Xiao, Blake O. Nourie, I. David Kaye, Barrett I. Woods, Jeffrey A. Rihn, Mark F. Kurd, D. Greg Anderson, Alan S. Hilibrand, Christopher K. Kepler, Gregory D. Schroeder, Alexander R. Vaccaro
Summary: This study aimed to evaluate the readmission rates and risk factors after elective lumbar decompression surgery. The retrospective cohort study found that age, smoking, longer hospital stay, and history of renal failure were significant predictors of inpatient readmission or complications.
Article
Medicine, General & Internal
Michael E. Matheny, Iben Ricket, Christine A. Goodrich, Rashmee U. Shah, Meagan E. Stabler, Amy M. Perkins, Chad Dorn, Jason Denton, Bruce E. Bray, Ram Gouripeddi, John Higgins, Wendy W. Chapman, Todd A. MacKenzie, Jeremiah R. Brown
Summary: This study developed and validated machine learning models for predicting 30-day readmission of AMI patients. The models showed good performance in discrimination at the development site, but poorer calibration. External validation revealed declines in discrimination and calibration, highlighting the importance of robust calibration assessments in machine learning models for accurate predictions.
Article
Multidisciplinary Sciences
Meredith Cox, J. C. Panagides, Azadeh Tabari, Sanjeeva Kalva, Jayashree Kalpathy-Cramer, Dania Daye
Summary: Predicting the risk of procedure-related mortality and unplanned readmission in patients undergoing lower extremity endovascular interventions for peripheral artery disease (PAD) can improve patient outcomes. This study developed machine learning models to stratify the risk of 30-day mortality and readmission, and found that the models performed equally well across different demographic groups.
Review
Medicine, General & Internal
Daniel Gould, Michelle M. Dowsey, Tim Spelman, Olivia Jo, Wassif Kabir, Jason Trieu, James Bailey, Samantha Bunzli, Peter Choong
Summary: This study identified that in-hospital complications during the index admission were the strongest risk factors for 30-day readmission in both primary and revision TKA patients. Closer post-discharge monitoring is recommended to prevent avoidable readmissions. Increased comorbidity burden, specific comorbidities, and low socioeconomic status were also important risk factors associated with readmission.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Clinical Neurology
Adalia H. Jun-O'Connell, Eliza Grigoriciuc, Brian Silver, Kimiyoshi J. Kobayashi, Marcey Osgood, Majaz Moonis, Nils Henninger
Summary: The study aimed to evaluate the effectiveness of the LACE+ index in predicting the risk of 30-day readmission in stroke patients. The results showed that the LACE+ index was associated with the risk of 30-day readmission, with the high-risk group having the highest readmission rate. This indicates that the LACE+ scoring system has some validity in predicting readmission in stroke patients.
FRONTIERS IN NEUROLOGY
(2022)
Article
Surgery
Sagar J. Pathak, Hyun Ji, Amar Nijagal, Patrick Avila, Sun-Chuan Dai, Mustafa A. Arain, Abdul Kouanda
Summary: Pediatric patients with cholecystitis who underwent cholecystectomy during index hospitalization had significantly lower readmission rates compared to those who did not.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Critical Care Medicine
Raul Coimbra, Timothy Allison-Aipa, Bishoy Zachary, Matthew Firek, Sara Edwards
Summary: This study aimed to identify risk factors associated with 30-day unplanned readmissions after emergency general surgery (EGS). Using a retrospective cohort study, the analysis revealed associations between patient characteristics such as age, anesthesia score, sepsis, body mass index, procedure risk, length of stay, and discharge disposition. Thirty-day readmissions were found to have higher incidence of surgical site infections, wound disruption, postoperative sepsis, and thromboembolic events.
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
(2023)
Article
Gastroenterology & Hepatology
Mesnad S. Alyabsi, Anwar H. Alqarni, Latifah M. Almutairi, Mohammed A. Algarni, Kanan M. Alshammari, Adel Almutairi, Nahar A. Alselaim
Summary: Hospital readmissions within 30 days after colorectal cancer surgery are common and associated with tumor metastasis and female patients. Strategies to reduce readmission include planned transition to outpatient care.
BMC GASTROENTEROLOGY
(2022)
Article
Multidisciplinary Sciences
Jiachen Li, Lirong Liang, Siyu Cao, Hengmo Rong, Lin Feng, Di Zhang, Shuilian Chu, Hang Jing, Zhaohui Tong
Summary: This study described the secular trend and identified risk factors of COPD-related 30-day readmission in Beijing from 2012 to 2017. The overall readmission rate increased from 11.5% in 2012 to 17.2% in 2017, with a higher rate for men. Comorbidities such as osteoporosis, coronary heart disease, congestive heart failure, and cancer were associated with an increased risk of readmission.
SCIENTIFIC REPORTS
(2022)
Article
Peripheral Vascular Disease
Drew J. Braet, Jamie B. Smith, Jonathan Bath, Robin L. Kruse, Todd R. Vogel
Summary: This study assessed the 30-day all-cause readmissions after carotid endarterectomy. Factors associated with readmission included end-stage renal disease, bleeding or hematoma, procedural complications, bronchodilator use, increased comorbidity burden, and electrolyte abnormalities. Efforts to reduce preventable physician-driven complications, such as protamine utilization, are crucial in lowering readmission rates.
Article
Surgery
Ira L. Leeds, Christian Jones, Sandra R. DiBrito, Joseph V. Sakran, Elliott R. Haut, Alistair J. Kent
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2020)
Article
Gastroenterology & Hepatology
Brian D. Lo, Ira L. Leeds, Margaret H. Sundel, Susan Gearhart, Gabriela R. C. Nisly, Bashar Safar, Chady Atallah, Sandy H. Fang
DISEASES OF THE COLON & RECTUM
(2020)
Editorial Material
Surgery
Elliott R. Haut, Ira L. Leeds, David H. Livingston
Editorial Material
Surgery
Ira L. Leeds, Allen Kachalia, Elliott R. Haut
Article
Gastroenterology & Hepatology
Ira L. Leeds, Emmanuel F. Drabo, Lisa Soleymani Lehmann, Bashar Safar, Fabian M. Johnston
Summary: This study evaluated the cost and benefits of preoperative optimization in stage II colon cancer surgery, showing that preoperative optimization can reduce total costs and increase quality-adjusted life-years (QALY). Probabilistic sensitivity analysis indicated that preoperative optimization was a more cost-effective strategy.
DISEASES OF THE COLON & RECTUM
(2021)
Article
Multidisciplinary Sciences
James C. Cox, Ira L. Leeds, Vjollca Sadiraj, Kurt E. Schnier, John F. Sweeney
Summary: The Centers for Medicare and Medicaid Services have identified unplanned hospital readmissions as a critical healthcare quality and cost issue. Improvements in hospital discharge decision-making and post-discharge care are needed to address this problem. Clinical decision support (CDS) can enhance discharge decision-making, and an experiment showed that information gathered from standardized patients and CDS can help improve patient outcomes.
Editorial Material
Surgery
Mitchell R. Ladd, Ira L. Leeds, Elliott R. Haut
Article
Gastroenterology & Hepatology
Ira L. Leeds, Joseph K. Canner, Sandra R. DiBrito, Bashar Safar
Summary: This study assessed the cost-effectiveness of extended prophylaxis in postoperative ulcerative colitis patients. The findings suggest that routine extended prophylaxis for venous thromboembolism in these patients is not cost-effective.
DISEASES OF THE COLON & RECTUM
(2022)
Article
Gastroenterology & Hepatology
Ira L. Leeds, Stefan D. Holubar, Tracy L. Hull, Jeremy M. Lipman, Amy L. Lightner, Bradford Sklow, Scott R. Steele
Summary: This study compared the outcomes of obese and nonobese patients with ulcerative colitis undergoing restorative ileoanal pouch surgery. The study found that obese patients had poorer quality of life and increased risk of long-term pouch failure compared to nonobese patients.
DISEASES OF THE COLON & RECTUM
(2022)
Review
Oncology
Sarah S. Al Ghamdi, Ira Leeds, Sandy Fang, Saowanee Ngamruengphong
Summary: Rectal cancer, accounting for one-third of colorectal cancer cases annually, can be prevented through early screening and appropriate management. Advances in diagnostic and therapeutic strategies have contributed to improved patient outcomes. This review summarizes the available minimally invasive endoscopic and surgical management options for rectal neoplasia.
Article
Gastroenterology & Hepatology
Ira L. Leeds, Bradford Sklow, Emre Gorgun, David Liska, Amy L. Lightner, Tracy L. Hull, Scott R. Steele, Stefan D. Holubar
Summary: This study used a decision analysis model to compare the costs and outcomes of different thromboembolism prophylaxis strategies after inflammatory bowel disease surgery. The results showed that low-dose aspirin extended prophylaxis had a favorable cost-safety profile compared to other strategies.
JOURNAL OF GASTROINTESTINAL SURGERY
(2022)
Article
Surgery
Ira L. Leeds, Bradford Sklow
Summary: This passage describes the evolving field of endoscopic management of anastomotic leaks after colorectal resection. It identifies the criteria for suitable cases and discusses various endoscopic techniques that can be used.
SEMINARS IN COLON AND RECTAL SURGERY
(2022)
Editorial Material
Gastroenterology & Hepatology
Haddon Pantel, Walter Longo, Ira Leeds, Anne Mongiu, Vikram Reddy
TECHNIQUES IN COLOPROCTOLOGY
(2022)
Article
Education, Scientific Disciplines
Andrew C. Esposito, Nathan A. Coppersmith, Emily A. Flom, Mark Chung, Vikram Reddy, Ira Leeds, Walter Longo, Haddon Pantel, Peter S. Yoo, Anne Mongiu
Summary: This study surveyed colon and rectal surgery residency program directors (PDs) in the United States and found a trend towards gender equality and diversity among upcoming junior PDs. All respondents were appointed to PD positions from within the institution, highlighting the importance of previous leadership experience and associate or assistant professor positions. This study provides guideposts for aspiring PDs on their career path.
JOURNAL OF SURGICAL EDUCATION
(2023)
Meeting Abstract
Gastroenterology & Hepatology
Ira Leeds, Bradford Sklow, Emre Gorgun, David Liska, Amy L. Lightner, Tracy L. Hull, Scott Steele, Stefan D. Holubar