Postoperative Rehabilitation May Reduce the Risk of Readmission after Groin Hernia Repair

Grégoire Mercier; Jessica Spence; Christelle Ferreira; Jean Marc Delay; Charles Meunier; Bertrand Millat; Tri Long Nguyen; Fabienne Seguret

doi:10.1038/s41598-018-25276-0

Postoperative Rehabilitation May Reduce the Risk of Readmission after Groin Hernia Repair

Grégoire Mercier^*, Jessica Spence, Christelle Ferreira, Jean Marc Delay, Charles Meunier, Bertrand Millat, Tri Long Nguyen, Fabienne Seguret

^*Corresponding author for this work

1 Citation (Scopus)

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Abstract

Thirty-day readmission after surgery has been proposed as a quality-of-care indicator. We explored the effect of postoperative rehabilitation on readmission risk after groin hernia repair. We used the French National Discharge Database to identify all index hospitalizations for groin hernia repair in 2011. Readmissions within 30 days of discharge were clinically classified in terms of their relationship to the index stay. We used logistic regression to adjust the risk of readmission for patient, procedure and hospital factors. Among 122,952 index hospitalizations for inguinal hernia repair, 3,357 (2.7%) related 30-day readmissions were recorded. Reiterated analyses indicated that readmission risk was consistently associated with patient complexity: age (per year after 60 years, OR 1.03, 95% CI 1.02-1.03, P < 0.001), hospitalization within the previous year (OR 1.56, 95% CI 1.44-1.69, P < 0.001), and increasing severity and combination of co-morbidities. Postoperative rehabilitation was identified as a protective factor (OR 0.56, 95% CI 0.46-0.69, P < 0.001). Older patients and those with greater comorbidity are at elevated risk of readmission after inguinal hernia repair. Postoperative rehabilitation may reduce this risk. Further studies are warranted to confirm the protective effect of postoperative rehabilitation.

Original language	English
Article number	6759
Journal	Scientific Reports
Volume	8
Issue number	1
ISSN	2045-2322
DOIs	https://doi.org/10.1038/s41598-018-25276-0
Publication status	Published - 2018
Externally published	Yes

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Postoperative Rehabilitation May Reduce the Risk of Readmission After Groin Hernia RepairFinal published version, 1.29 MBLicence: CC BY

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@article{9bf8ba21b01f48c696cdc381d1489d27,

title = "Postoperative Rehabilitation May Reduce the Risk of Readmission after Groin Hernia Repair",

abstract = "Thirty-day readmission after surgery has been proposed as a quality-of-care indicator. We explored the effect of postoperative rehabilitation on readmission risk after groin hernia repair. We used the French National Discharge Database to identify all index hospitalizations for groin hernia repair in 2011. Readmissions within 30 days of discharge were clinically classified in terms of their relationship to the index stay. We used logistic regression to adjust the risk of readmission for patient, procedure and hospital factors. Among 122,952 index hospitalizations for inguinal hernia repair, 3,357 (2.7%) related 30-day readmissions were recorded. Reiterated analyses indicated that readmission risk was consistently associated with patient complexity: age (per year after 60 years, OR 1.03, 95% CI 1.02-1.03, P < 0.001), hospitalization within the previous year (OR 1.56, 95% CI 1.44-1.69, P < 0.001), and increasing severity and combination of co-morbidities. Postoperative rehabilitation was identified as a protective factor (OR 0.56, 95% CI 0.46-0.69, P < 0.001). Older patients and those with greater comorbidity are at elevated risk of readmission after inguinal hernia repair. Postoperative rehabilitation may reduce this risk. Further studies are warranted to confirm the protective effect of postoperative rehabilitation.",

author = "Gr{\'e}goire Mercier and Jessica Spence and Christelle Ferreira and Delay, {Jean Marc} and Charles Meunier and Bertrand Millat and Nguyen, {Tri Long} and Fabienne Seguret",

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T1 - Postoperative Rehabilitation May Reduce the Risk of Readmission after Groin Hernia Repair

AU - Mercier, Grégoire

AU - Spence, Jessica

AU - Ferreira, Christelle

AU - Delay, Jean Marc

AU - Meunier, Charles

AU - Millat, Bertrand

AU - Nguyen, Tri Long

AU - Seguret, Fabienne

PY - 2018

Y1 - 2018

N2 - Thirty-day readmission after surgery has been proposed as a quality-of-care indicator. We explored the effect of postoperative rehabilitation on readmission risk after groin hernia repair. We used the French National Discharge Database to identify all index hospitalizations for groin hernia repair in 2011. Readmissions within 30 days of discharge were clinically classified in terms of their relationship to the index stay. We used logistic regression to adjust the risk of readmission for patient, procedure and hospital factors. Among 122,952 index hospitalizations for inguinal hernia repair, 3,357 (2.7%) related 30-day readmissions were recorded. Reiterated analyses indicated that readmission risk was consistently associated with patient complexity: age (per year after 60 years, OR 1.03, 95% CI 1.02-1.03, P < 0.001), hospitalization within the previous year (OR 1.56, 95% CI 1.44-1.69, P < 0.001), and increasing severity and combination of co-morbidities. Postoperative rehabilitation was identified as a protective factor (OR 0.56, 95% CI 0.46-0.69, P < 0.001). Older patients and those with greater comorbidity are at elevated risk of readmission after inguinal hernia repair. Postoperative rehabilitation may reduce this risk. Further studies are warranted to confirm the protective effect of postoperative rehabilitation.

AB - Thirty-day readmission after surgery has been proposed as a quality-of-care indicator. We explored the effect of postoperative rehabilitation on readmission risk after groin hernia repair. We used the French National Discharge Database to identify all index hospitalizations for groin hernia repair in 2011. Readmissions within 30 days of discharge were clinically classified in terms of their relationship to the index stay. We used logistic regression to adjust the risk of readmission for patient, procedure and hospital factors. Among 122,952 index hospitalizations for inguinal hernia repair, 3,357 (2.7%) related 30-day readmissions were recorded. Reiterated analyses indicated that readmission risk was consistently associated with patient complexity: age (per year after 60 years, OR 1.03, 95% CI 1.02-1.03, P < 0.001), hospitalization within the previous year (OR 1.56, 95% CI 1.44-1.69, P < 0.001), and increasing severity and combination of co-morbidities. Postoperative rehabilitation was identified as a protective factor (OR 0.56, 95% CI 0.46-0.69, P < 0.001). Older patients and those with greater comorbidity are at elevated risk of readmission after inguinal hernia repair. Postoperative rehabilitation may reduce this risk. Further studies are warranted to confirm the protective effect of postoperative rehabilitation.

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DO - 10.1038/s41598-018-25276-0

M3 - Journal article

C2 - 29712995

AN - SCOPUS:85046372671

SN - 2045-2322

VL - 8

JO - Scientific Reports

JF - Scientific Reports

IS - 1

M1 - 6759

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Postoperative Rehabilitation May Reduce the Risk of Readmission after Groin Hernia Repair

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