TY - JOUR T1 - Readmission rates and cost following colorectal surgery. AU - Wick,Elizabeth C, AU - Shore,Andrew D, AU - Hirose,Kenzo, AU - Ibrahim,Andrew M, AU - Gearhart,Susan L, AU - Efron,Jonathan, AU - Weiner,Jonathan P, AU - Makary,Martin A, PY - 2011/11/10/entrez PY - 2011/11/10/pubmed PY - 2011/12/28/medline SP - 1475 EP - 9 JF - Diseases of the colon and rectum JO - Dis Colon Rectum VL - 54 IS - 12 N2 - BACKGROUND: Hospital readmission is emerging as a quality indicator by the state, federal, and private payors with the goal of denying payment for select readmissions. OBJECTIVE: We designed a study to measure the rate, cost, and risk factors for hospital readmission after colorectal surgery. STUDY DESIGN/SETTING: We reviewed commercial health insurance records of 10,882 patients who underwent colorectal surgery over a 7-year period (2002-2008). PATIENTS: All patients undergoing colon and/or rectal resection ages 18 to 64 were included. MAIN OUTCOME MEASURE: The 30-day and 90-day readmission rates, the number of readmissions per patient, the median cost, length of stay, and risk factors for readmission were analyzed. RESULTS: Thirty-day readmission occurred in 11.4% (1239/10,882) of patients. Readmission between 31 and 90 days occurred in an additional 11.9% (1027/10,882) of patients for a total 90-day readmission rate of 23.3%. Two or more readmissions occurred in 1.4% (155) and 5.2% (570) of patients in the first 30 and 90 days. Mean readmission length of stay was 8 days, and the median cost per stay was $8885. Initial hospitalization risk factors for readmission were the diagnosis of a surgical site infection (OR 1.2), creation of a stoma (OR 1.2), discharge to nursing home (OR 1.2), index admission length of stay >7 days (OR 1.2), proctectomy (OR 1.1), and severity of illness score (severity of illness 3 = OR 1.1; severity of illness 4 = OR 1.3). CONCLUSIONS: Readmission after colorectal surgery occurs frequently and is associated with a cost of approximately $9000 per readmission. Nationwide these findings account for $300 million in readmission costs annually for colorectal surgery alone. Clinical and systems-based prevention strategies are needed to reduce readmission. SN - 1530-0358 UR - https://www.unboundmedicine.com/medline/citation/22067174/Readmission_rates_and_cost_following_colorectal_surgery_ L2 - https://doi.org/10.1097/DCR.0b013e31822ff8f0 DB - PRIME DP - Unbound Medicine ER -