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ID: 951 (Conflict of Interest: K)

Ungeplante stationäre Wiederaufnahmen in den ersten 90 Tagen nach Entlassung nach onkologischen Pancreasoperationen: Gründe, Zusammenhang und Behandlungsmuster.

A.Imamovic1, T.Niernberger2, S.Gabor2, S.Sauseng1, H.Rabl3
1LKH-Universitätsklinikum Graz, Graz
2Burgenländische Krankenanstalten A.ö. Krankenhaus Oberwart, Oberwart
3Landeskrankenhaus Hochsteiermark, Standort Leoben, Leoben

Einleitung

Readmission rates have been targeted as a quality metric for patient’s condition, surgical performance and cost control. The readmission rate within 30 days is about 19 %. 

Material und Methoden

Our retrospective analysis included 143 patients (m:f = 76:67) who were underwent a classical Whippel procedure, PPPD and left sided resection with readmission within 90 days.

Ergebnisse

Readmission rate was 25% ( 36/143 pts.). Operation associated readmission rate was 10,5% (15 / 36 pst.) and included hepatic abscess (4/15 pts.), persistend diarrhoea (3/15 pts.), portal vein thrombosis (3/15 pts.), retroperitoneal abscess (1/15 pts.), infected pseudocyst (1/15 pts.), arrosion bleeding (1/15 pts.), subhepatic hematoma (1/15 pts.) and stump leakage after left sided resection (1/15 pts.).

Redo-surgery was done in 3 patients (2%), interventional radiologic / endoscopic treatment in 2 (1,5%) and conservative treatment in 10 patients (7%).

Non surgical associated readmission rate was 14,7% (21 pts.) due to ascites, pulmonary embolism, pneumonia and reduced general health.

Schlussfolgerung

The low need for interventions whether surgical or radiological / endoscopical was 3,4% and was successful in each case