Evaluation of readmissions due to surgical site infections: A potential target for quality improvement.
INTRODUCTION: Readmissions have become a focus of pay-for-performance programs. Surgical site infections (SSI) are the reason for most readmissions. Readmissions for SSI could be a unique target for quality improvement.
METHODS: Readmission risk for SSI were evaluated for patients undergoing colectomies from 2013 to 2014. Hazard models were developed to examine factors associated with and hospital-level variation in risk-adjusted rates of readmission for SSI.
RESULTS: Among 59,088 patients at 525 hospitals, the rate of readmissions for SSI ranged from 1.45% to 6.34%. Characteristics associated with a greater likelihood of SSI readmissions include male gender, smoking, open surgery and hospitals with increased socioeconomically-disadvantaged patients. After risk adjustment, there was little correlation between hospital performance with SSI readmission rate and performance with overall SSI or total readmission rate (r
CONCLUSIONS: Readmission for SSI represents a unique aspect of quality beyond that offered by measuring only SSI or readmission rates alone, and may provide actionable quality improvement.
Published In/Presented At
Shah, R., Pavey, E., Ju, M., Merkow, R., Rajaram, R., Wandling, M. W., Cohen, M. E., Dahlke, A., Yang, A., & Bilimoria, K. (2017). Evaluation of readmissions due to surgical site infections: A potential target for quality improvement. American journal of surgery, 214(5), 773–779. https://doi.org/10.1016/j.amjsurg.2017.04.011
Medicine and Health Sciences
Department of Surgery