Imperial College London
Alternate

Mr Colin D Bicknell BM MD FRCS

Faculty of Medicine, Department of Surgery & Cancer

Clinical Reader in Vascular Surgery
 
 
 
//

Contact

 

+44 (0)20 3312 6428colin.bicknell

 
 
//

Location

 

1020Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

//

Summary

 

Publications

Citation

BibTex format

@article{Knighton:2019:10.1002/bjs5.50191,
author = {Knighton, A and Martin, G and Sounderajah, V and Warren, L and Markiewicz, O and Riga, C and Bicknell, C},
doi = {10.1002/bjs5.50191},
journal = {BJS Open},
pages = {759--766},
title = {Avoidable 30day readmissions in patients undergoing vascular surgery},
url = {http://dx.doi.org/10.1002/bjs5.50191},
volume = {3},
year = {2019}
}
Download

RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background: Vascular surgery has one of the highest unplanned 30-day readmission rates of all surgical specialities. The degree to which these may be avoidable and the optimal strategies to reduce their occurrence is unknown. The aim of this study was to identify and classify avoidable 30-day readmissions in patients undergoing vascular surgery in order to plan targeted interventions to reduce their occurrence, improve outcomes and reduce cost.Methods: A retrospective analysis of discharges over a 12-month period from a single tertiary vascular unit was performed. A multidisciplinary panel conducted a manual case note review to identify and classify those 30-day unplanned emergency readmissions deemed avoidable.Results: An unplanned 30-day readmission occurred in 72/885 (8.1%) admissions. These unplanned readmissions were deemed avoidable in 50.0% (36/72) and were most frequently due to unresolved medical issues (19/36, 52.8%) and inappropriate admission with the potential for outpatient management (7/36, 19.4%). A smaller number were due to inadequate social care provision (4/36, 11.1%) and the occurrence of other avoidable adverse events (4/36, 11.1%).  Conclusion: Half of all 30-day readmissions in vascular patients are potentially avoidable. Multidisciplinary coordination of inpatient care and the transition from hospital to community care following discharge need to be improved.
AU  - Knighton,A
AU  - Martin,G
AU  - Sounderajah,V
AU  - Warren,L
AU  - Markiewicz,O
AU  - Riga,C
AU  - Bicknell,C
DO  - 10.1002/bjs5.50191
EP  - 766
PY  - 2019///
SN  - 2474-9842
SP  - 759
TI  - Avoidable 30day readmissions in patients undergoing vascular surgery
T2  - BJS Open
UR  - http://dx.doi.org/10.1002/bjs5.50191
UR  - http://hdl.handle.net/10044/1/70510
VL  - 3
ER  -
Download