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Rapid Retriage of Critically Injured Trauma Patients

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odds of readmission in neonates was likely because length of stay was often longer than 30 days. Discussion | In strengthening pediatric surgical centers, it is important to reduce unplanned… Click to show full abstract

odds of readmission in neonates was likely because length of stay was often longer than 30 days. Discussion | In strengthening pediatric surgical centers, it is important to reduce unplanned hospital readmissions. This study identifies procedures with particularly high rates of readmission and finds surgical site infections as the most common reason for readmission related to the operation. However, nearly half of readmissions were related to chronic medical conditions and other nonmodifiable risk factors, similar to other research.2 Patients with cancer, patients with cerebral palsy, and patients undergoing neurosurgical procedures are at particularly high risk of readmission. The main limitation of this study is that, while robust, the NSQIP-P database is a sample of children’s surgery centers and may not be nationally representative of all pediatric surgery in the United States. These findings, along with internal analysis of hospital-specific data, will help inform quality improvement measures to decrease readmission rates in pediatric surgery.

Keywords: retriage critically; surgery; readmission; injured trauma; rapid retriage; critically injured

Journal Title: JAMA Surgery
Year Published: 2017

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