“Readmissions are a common complication after pancreaticoduodenectomy and are increasingly being used as a performance metric affecting quality assessment, public reporting, and reimbursement. This study aims to identify general and pancreatectomy-specific factors contributing to 30-day readmission after pancreaticoduodenectomy, and determine the additive value of incorporating pancreatectomy-specific factors into a large national dataset.”
“Large registry analyses of pancreatectomy outcomes are markedly improved by the incorporation of granular procedure-specific data. These data emphasize the need for prevention and careful management of perioperative infectious complications, fluid management, thromboprophylaxis, and pancreatic fistulae.”

“To the authors’ best knowledge, this is the largest study to date analyzing readmission after PD. This study also incorporates pancreatectomy-specific variables, and demonstrates the additive predictive value in including these variables. Factors independently associated with readmission were renal insufficiency, sepsis, septic shock, OSI, fascial dehiscence, VTE, pancreatic fistula, DGE, need for percutaneous drainage, and reoperation. These data emphasize the need for prevention and careful management of perioperative infectious complications, fluid management, thromboprophylaxis, and pancreatic fistulae.”

Ramanathan R, et al Predictors of Short-Term Readmission After Pancreaticoduodenectomy. J Gastrointest Surg. 2018 Jun;22(6):998-1006. Full Text for Emory Users