title: Risk factors for 30-day readmissions after hepatectomy: analysis of 2444 patients from the ACS-NSQIP database.
abstract: OBJECTIVE
  The aim of this study was to identify risk factors associated with unplanned readmissions after hepatectomies.
  
  
  METHODS
  Patients who underwent hepatectomies between January and December of 2011 were identified using the ACS-NSQIP database. A multivariate logistic regression analysis was performed to determine predictors of unplanned readmissions related to the procedure within 30 days.
  
  
  RESULTS
  Unplanned readmissions occurred in 10.5 % of all patients who received a hepatectomy. On multivariate analysis, transfusion within 72 h after surgery (odds ratio [OR] 1.74, p < 0.001), complexity of procedure (extended, OR 1.84, p = 0.004; right hepatectomy, OR 1.66, p = 0.003), and longer operative time (>median 320 min, OR 2.43, p < 0.001) were independent perioperative predictors of unplanned readmissions. Independent preoperative risk factors included elevated alkaline phosphatase (OR 1.45, p = 0.017), bleeding disorders (OR 1.72, p = 0.051), and lower albumin levels (OR 1.30, p = 0.036).
  
  
  CONCLUSIONS
  Transfusion, complexity of procedure, and duration of operation were the strongest predictors of unplanned readmissions after liver resection.
authors.affiliation: Department of Surgery, Section of Transplant Surgery, University of Kentucky College of Medicine, 800 Rose Street, Room C453, Lexington, KY, 40508, USA.
authors.forename: Sooyeon
authors.initials: S
authors.lastname: Kim
authors.forename: Erin C
authors.initials: EC
authors.lastname: Maynard
authors.forename: Malay B
authors.initials: MB
authors.lastname: Shah
authors.forename: Michael F
authors.initials: MF
authors.lastname: Daily
authors.forename: Ching-Wei D
authors.initials: CW
authors.lastname: Tzeng
authors.forename: Daniel L
authors.initials: DL
authors.lastname: Davenport
authors.forename: Roberto
authors.initials: R
authors.lastname: Gedaly
mesh_terms: D000368:Aged; D000469:Alkaline Phosphatase / Q000097:blood; D001803:Blood Transfusion; D016208:Databases, Factual; D005260:Female; D006498:Hepatectomy / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010359:Patient Readmission / Q000706:statistics & numerical data; D057234:Preoperative Period; D012189:Retrospective Studies; D012307:Risk Factors; D012709:Serum Albumin / Q000378:metabolism; D013997:Time Factors
chemical_list: D012709:Serum Albumin; D000469:Alkaline Phosphatase