Stephen D. Cassivi, MD, a thoracic surgeon with the Rochester, Minn.-based Mayo Clinic, and colleagues contacted all 107 patients who underwent elective esophagectomy from August 2013 to July 2014 at the Mayo Clinic to determine if they had been reshospitalized within 30 days of their initial discharge.
Here are five points:
1. Among the 84 patients who met inclusion criteria, 72 percent underwent transthoracic esophagectomy and 7 percent underwent a minimally invasive procedure.
2. Two percent of those patients died within 30 days and 8 percent had an anastomotic leak.
3. Nineteen percent had an unplanned rehospitalization within 30 days — 88 percent of those at Mayo Clinic and 12 percent at other institutions.
4. Pulmonary and GI complications were the most common reasons for readmission, at 44 percent and 36 percent respectively.
5. The median interval between discharge and readmission was seven days and the median length of readmission was 4.5 days.
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