title: The Frequency of Unplanned Rehospitalization and Associated Factors in Gyneoncology Patients: A Retrospective Study.
abstract: In this study, we aim to analyze rate and associated factors with unplanned rehospitalization in gynecological cancer patients.
  
  
  
  The electronic database query (2007 to 2014) was used to evaluate rehospitalization rates within 90 days of index admission in patients with gynecological cancer. Multivariable logistic regression was used to identify factors associated with rehospitalization.
  
  
  
  Mean patient age was 59.05 ± 11.96 years (minimum, 32 years; maximum, 85 years). A total of 152 patients' data were evaluated. Seventy-three patients (48.0%) were rehospitalized within 90 days of discharge. The median length of index hospital stay (from 3 to 34 days) was 8.90 ± 6.03 days. The most common rehospitalization causes includes pain (24.6%), recurrence (21.9%), ascites (13.7%), surgical site infection (12.3%), acute reoperation (9.6%), thromboembolism (8.2%), renal failure (5.5%), ileus/obstruction (2.7%), and lymphedema (1.4%). In multivariable logistic regression model, difference was found between history of operation, receive chemotherapy, development of the complication during hospitalization comorbidities as well as multiparity variables, and rehospitalization (P < 0.05).
  
  
  
  Unplanned rehospitalization after discharge for gynecological cancer is common with significant associated risk factors and patient outcomes. Integrated multidisciplinary health care strategies, such as safe transition, communication, patient and family education, accurate medication reconciliation, and short-interval outpatient follow-up may help to prevent rehospitalization after discharge and improve patient outcomes.
authors.affiliation: *Department of Nursing, Faculty of Health Sciences, Yildirim Beyazit University; †Department of Oncology, Ankara Atatürk Training and Research Hospital; ‡Department of Obstetrics and Gynecology, Faculty of Medicine, Yildirim Beyazit University; and §Faculty of Medicine, Department of Public Health, Hacettepe University, Ankara, Turkey.
authors.forename: Gul
authors.initials: G
authors.lastname: Pinar
authors.forename: Ayse
authors.initials: A
authors.lastname: Akalin
authors.forename: Hulya
authors.initials: H
authors.lastname: Erbaba
authors.forename: Gokce Banu
authors.initials: GB
authors.lastname: Acar
authors.forename: Filiz
authors.initials: F
authors.lastname: Avsar
authors.forename: Tevfik
authors.initials: T
authors.lastname: Pinar
mesh_terms: D005260:Female; D005833:Genital Neoplasms, Female / Q000453:epidemiology* / Q000628:therapy; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D010359:Patient Readmission / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D014421:Turkey / Q000453:epidemiology