Association of Frailty and Postoperative Complications With Unplanned Readmissions After Elective Outpatient Surgery
Author(s) -
Kara A. Rothenberg,
Jordan R. Stern,
Elizabeth George,
Amber W. Trickey,
Arden M. Morris,
Daniel E. Hall,
Jason M. Johanning,
Mary T. Hawn,
Shipra Arya
Publication year - 2019
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2019.4330
Subject(s) - medicine , ambulatory , frailty index , cohort , retrospective cohort study , elective surgery , hospital readmission , emergency medicine , surgery
Key Points Question Is frailty, as measured by the Risk Analysis Index, associated with risk for unplanned readmission after elective outpatient surgery? Findings In this cohort study of 417 840 patients in the National Surgical Quality Improvement Program, frailty was associated with an increased risk for unplanned readmissions after elective outpatient surgery. Mediation analysis showed that the association of frailty with readmission was partially mediated by occurrence of complications. Meaning Surgical patients may benefit from screening for frailty to decrease complications and unplanned readmissions after surgery.
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