
(HealthDay News) — Older adults face high rates of readmission within 180 days of major surgery, according to a study published online in JAMA Network Open.
Yi Wang, PhD, from Yale University in New Haven, Connecticut, and colleagues estimate the number of hospital readmissions within 30 and 180 days after major surgery among community-living US residents aged 65 years and older. The analysis included 1477 participants in the National Health and Aging Trends Study (1780 major surgeries).
The researchers found that the weighted rates of hospital readmission were 11.6% for 30 days and 27.6% for 180 days. Within 180 days, the highest readmission rates were seen among participants aged 90 years and older (36.8%), those undergoing vascular surgery (45.8%), and persons with frailty (36.9%) or probable dementia (39.0%). With death as a competing risk in age- and sex-adjusted models, the hazard ratios for hospital readmission within 180 days were 2.29 for frailty and 1.58 for probable dementia.
“These readmission rates are high,” co-senior author Robert D. Becher, MD, also from the Yale School of Medicine, said in a statement. “This study adds to our understanding of what it means to recover from major surgery as an older person.”
References:
Wang Y, Leo-Summers L, Vander Wyk B, Davis-Plourde K, Gill TM, Becher RD. National Estimates of Short- and Longer-Term Hospital Readmissions After Major Surgery Among Community-Living Older Adults. JAMA Netw Open. 2024 Feb 5;7(2):e240028. doi:10.1001/jamanetworkopen.2024.0028
Dualeh SHA, Suwanabol PA. Anticipating Needs Among Older Adults After Major Surgery-A Focus on 30- and 180-Day Hospital Readmissions. JAMA Netw Open. 2024 Feb 5;7(2):e240016. doi:10.1001/jamanetworkopen.2024.0016
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