ABSTRACT
Los reingresos urgentes suponen un impacto importante sobre los resultados en la salud de los pacientes y los costes sanitarios. Los factores de riesgo asociados a reingreso tras cirugía de resección pulmonar han sido poco estudiados. El principal objetivo del presente trabajo es la identificación de factores pre- y perioperatorios determinantes de reingreso; secundariamente, determinación de tasa de reingresos, identificación de diagnósticos de reingreso, e impacto de los reingresos sobre las tasas de supervivencia en los estudios que lo analizaban. La revisión se realizó mediante búsqueda sistemática en las principales bases de datos bibliográficas. Finalmente, 19 trabajos cumplieron los criterios de selección. Los principales factores de riesgo fueron: variables sociodemográficas de los pacientes; comorbilidades; tipo de resección; complicaciones postoperatorias; estancia prolongada. A pesar de la gran variabilidad en los estudios publicados, todos destacan la importancia de reducir los índices de reingreso por su significativo impacto sobre pacientes y sistema sanitario
Urgent readmissions have a major impact on outcomes in patient health and healthcare costs. The associated risk factors have generally been infrequently studied. The main objective of the present work is to identify pre- and perioperative determinants of readmission; the secondary aim was to determine readmission rate, identification of readmission diagnoses, and impact of readmissions on survival rates in related analytical studies. The review was performed through a systematic search in the main bibliographic databases. In the end, 19 papers met the selection criteria. The main risk factors were: sociodemographic patient variables; comorbidities; type of resection; postoperative complications; long stay. Despite the great variability in the published studies, all highlight the importance of reducing readmission rates because of the significant impact on patients and the healthcare system
Subject(s)
Humans , Patient Readmission/economics , Risk Factors , Length of Stay , Lung/surgery , Survival Rate , Postoperative Complications , Data Analysis , BibliometricsABSTRACT
Urgent readmissions have a major impact on outcomes in patient health and healthcare costs. The associated risk factors have generally been infrequently studied. The main objective of the present work is to identify pre- and perioperative determinants of readmission; the secondary aim was to determine readmission rate, identification of readmission diagnoses, and impact of readmissions on survival rates in related analytical studies. The review was performed through a systematic search in the main bibliographic databases. In the end, 19 papers met the selection criteria. The main risk factors were: sociodemographic patient variables; comorbidities; type of resection; postoperative complications; long stay. Despite the great variability in the published studies, all highlight the importance of reducing readmission rates because of the significant impact on patients and the healthcare system.
