Patients with Surgical Complications Do Better at Same Hospital

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Patients also did slightly better when original team of doctors treated them on readmission for complications following surgery.
Patients also did slightly better when original team of doctors treated them on readmission for complications following surgery.

(HealthDay News) -- Surgery patients who suffer complications after discharge from a hospital are more likely to die if they're readmitted to a different hospital than where they had their original operation, according to a new study published online in The Lancet.

University of Utah researchers reviewed information on millions of Medicare patients who underwent one of 12 major surgical procedures between 2001 and 2011. Up to one-fifth of the patients were readmitted to a hospital within 30 days due to complications.

The researchers found that up to 83% of patients with complications were readmitted to the same hospital where they had their initial surgery. Overall, readmission to the same hospital was associated with a 26% lower risk of death within 90 days, the study revealed. 

For specific types of surgeries, the risk of death associated with readmission to the same hospital ranged from 44% lower for those who underwent pancreatectomy to 13% lower for those who had coronary artery bypass surgery. Patients also did slightly better if they were treated by the same surgical team.

"This is not a small issue. Between 5 to 22% of patients were readmitted in our study, depending on the type of surgery," lead author Benjamin Brooke, M.D., an assistant professor of surgery at the University of Utah in Salt Lake City, said in a university news release. "Our work suggests that striving to maintain continuity of care in the same hospital, and by the same medical team when possible, is critical to achieve the best outcomes should complications arise after surgery."

Sources

  1. Brooke, B, et al. The Lancet; doi: 10.1016/S0140-6736(15)60087-3.
  2. Justin B. Dimick and David C. Miller. The Lancet; doi: 10.1016/S0140-6736(15)60462-7.
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