P. P. S. Pereira, Josimeire Cantanhêde de Deus, Laís Xavier de Araújo, Valéria Moreira da Silva, Carla Vanessa Suaris Meireles, Marcela Miranda Sanches Rosa
{"title":"巴西北部一家医院手术后意外再入院:前瞻性队列","authors":"P. P. S. Pereira, Josimeire Cantanhêde de Deus, Laís Xavier de Araújo, Valéria Moreira da Silva, Carla Vanessa Suaris Meireles, Marcela Miranda Sanches Rosa","doi":"10.19175/recom.v12i0.4470","DOIUrl":null,"url":null,"abstract":"Objective: to analyze unplanned readmissions after surgical procedures and their risk factors in a large hospital in Northern Brazil. Method: prospective cohort, with data collected from medical records and at the bedside. Descriptive, bivariate and multiple analysis were performed using Poisson regression in Stata® v.16.0. Results: of the total of 486 patients, 1.47% were readmitted. The incidence of readmissions was 68 per 1,000 procedures (95%CI: 47.10; 93.85). In the adjusted analysis, the risk factors were not being white (RR: 2.06; 95%CI 1.13; 3.75), using implants in surgery (RR: 2.00; 95%CI: 1.05; 3.81) and procedures of the urology/renal specialties (RR: 3.17; 95%CI: 1.59-6.31) and gynecology (RR: 2.18; 95%CI: 1.06-4.49). Conclusion: the incidence of readmissions in this region is higher than in other regions. Demographic characteristics and type of surgical procedure were risk factors for the outcome.","PeriodicalId":170407,"journal":{"name":"Revista de Enfermagem do Centro-Oeste Mineiro","volume":"151 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Unplanned readmissions after surgery in a hospital in northern Brazil: prospective cohort\",\"authors\":\"P. P. S. Pereira, Josimeire Cantanhêde de Deus, Laís Xavier de Araújo, Valéria Moreira da Silva, Carla Vanessa Suaris Meireles, Marcela Miranda Sanches Rosa\",\"doi\":\"10.19175/recom.v12i0.4470\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective: to analyze unplanned readmissions after surgical procedures and their risk factors in a large hospital in Northern Brazil. Method: prospective cohort, with data collected from medical records and at the bedside. Descriptive, bivariate and multiple analysis were performed using Poisson regression in Stata® v.16.0. Results: of the total of 486 patients, 1.47% were readmitted. The incidence of readmissions was 68 per 1,000 procedures (95%CI: 47.10; 93.85). In the adjusted analysis, the risk factors were not being white (RR: 2.06; 95%CI 1.13; 3.75), using implants in surgery (RR: 2.00; 95%CI: 1.05; 3.81) and procedures of the urology/renal specialties (RR: 3.17; 95%CI: 1.59-6.31) and gynecology (RR: 2.18; 95%CI: 1.06-4.49). Conclusion: the incidence of readmissions in this region is higher than in other regions. Demographic characteristics and type of surgical procedure were risk factors for the outcome.\",\"PeriodicalId\":170407,\"journal\":{\"name\":\"Revista de Enfermagem do Centro-Oeste Mineiro\",\"volume\":\"151 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-12-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista de Enfermagem do Centro-Oeste Mineiro\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.19175/recom.v12i0.4470\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista de Enfermagem do Centro-Oeste Mineiro","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.19175/recom.v12i0.4470","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Unplanned readmissions after surgery in a hospital in northern Brazil: prospective cohort
Objective: to analyze unplanned readmissions after surgical procedures and their risk factors in a large hospital in Northern Brazil. Method: prospective cohort, with data collected from medical records and at the bedside. Descriptive, bivariate and multiple analysis were performed using Poisson regression in Stata® v.16.0. Results: of the total of 486 patients, 1.47% were readmitted. The incidence of readmissions was 68 per 1,000 procedures (95%CI: 47.10; 93.85). In the adjusted analysis, the risk factors were not being white (RR: 2.06; 95%CI 1.13; 3.75), using implants in surgery (RR: 2.00; 95%CI: 1.05; 3.81) and procedures of the urology/renal specialties (RR: 3.17; 95%CI: 1.59-6.31) and gynecology (RR: 2.18; 95%CI: 1.06-4.49). Conclusion: the incidence of readmissions in this region is higher than in other regions. Demographic characteristics and type of surgical procedure were risk factors for the outcome.