The Analysis of Causes of Hospital Readmissions in The Patients Who Underwent Gastrectomy Because of Gastric Cancer in Van Province

Abstract

It was aimed to analyze the causes of hospital readmissions within the first 30 days after gastrectom y in the patients diagnosed with gastric cancer. Data of 300 patients who underwent total gastrectomy or subtotal gastrectomy for gastric cancer between 01.01.2018 and 31.05.2022 were retrospectively analyzed using the hospital automation system. Patients aged 18-85 years with or without neoadjuvant treatment were included in the study. SPSS software package was used to make comparisons between patient data. One hundred ten patients (36.7%) were female, 190 patients were (63.3%) male and the mean age of the patients was 61. Within the first 30 days after gastrectomy and discharge, 65 patients readmitted to the hospital. The rate of hospital readmissions after gastrectomy was found to be 21.6%. The analysis of readmission causes revealed that headache, chest pain and abdominal pain were the most common rationales for readmissions. In the present study, the causes of readmissions were classified under thre e titles as pain, gastrointestinal symptoms and surgical site complications. No statistically significant relationship was found between the causes of readmissions and patient age, patient gender, type of the performed surgery and the fact whether neoadjuvant therapy was received (p>0.05). We conclude that providing a postoperative high quality healthcare for recovery in the patients who underwent gastrectomy will reduce the postoperative readmissions rates. © 2023, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.