Thirty-day readmission rate 2.8 percent after hysterectomy

Thirty-day readmission rate 2.8 percent after hysterectomy

(HealthDay)—For patients undergoing hysterectomy for benign indications, the 30-day readmission rate is 2.8 percent, with most readmissions occurring within 15 days, according to a study published in the October issue of Obstetrics & Gynecology.

Courtney A. Penn., M.D., from the University of Michigan Health System in Ann Arbor, and colleagues performed a retrospective analysis to examine patterns of 30-day readmission after for benign indications, including all surgical approaches (abdominal, laparoscopic, and vaginal).

The researchers found that the 30-day readmission rate was 2.8 percent, and were seen for 3.7, 2.6, and 2.1 percent of abdominal, laparoscopic, and vaginal hysterectomies, respectively. Compared with a vaginal approach, readmissions were more likely when hysterectomy was performed abdominally (adjusted odds ratio, 1.45; 95 percent confidence interval, 1.2 to 1.76) but not laparoscopically (adjusted odds ratio, 1.1; 95 percent confidence interval, 0.9 to 1.4). Most readmissions (82 percent) occurred within 15 days of discharge. The shortest and longest median times to readmission (three and 10 days) were associated with pain and noninfectious wound complications, respectively. The most common diagnosis was surgical site infection (36.6, 28.3, and 32.6 percent of abdominal, laparoscopic, and vaginal hysterectomies, respectively); surgical site infections, surgical injuries, and wound complications accounted for about half of all readmissions (51.5, 51.9, and 50.8 percent, respectively).

"Readmission reduction efforts should focus on early postdischarge follow-up, preventing infectious complications, and determining preventability of surgical-related reasons for readmission," the authors write.

Explore further

Study looks at impact of FDA safety alert on morcellation

More information: Full Text (subscription or payment may be required)
Journal information: Obstetrics & Gynecology

Copyright © 2016 HealthDay. All rights reserved.

Citation: Thirty-day readmission rate 2.8 percent after hysterectomy (2016, September 15) retrieved 15 October 2019 from
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.

Feedback to editors

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more