Home » Health Studies in the News » Study: 40% of Post-Surgery Complications Occur After Discharge

Study: 40% of Post-Surgery Complications Occur After Discharge

A new study from California suggests that 40% of post surgical complications occur after hospital discharge. The study, titled “Association of Postdischarge Complications With Reoperation and Mortality in General Surgery” was authored by Hadiza S. Kazaure, MD; Sanziana A. Roman, MD; and Julie A. Sosa, MD, MA.

The study followed 551,510 adult patients after general surgery. The average age of the patients was 54.6 years. They found that 16.7% of the patients had post surgery complications, with 41.5% happening after they were discharged from the hospital. The researchers found that 75% of these complications occurred within two weeks of leaving the hospital.

The procedures with the highest post discharge rates were prostectomy (at 14.5%), enteric fistula repair (at 12.6%) and pancreatic surgery (at 11.4%). When analyzing the complications by procedure, they found that three specific surgery areas had very high complication rates. 78.7% of breast surgeries had post discharge complications, 69.4% of bariatric surgeries had post discharge complications, and 62% of hernia repair surgeries had post discharge complications.

The most common causes of the complications were infection and blood clots. Those individuals who had post discharge complications had a 17.9% risk of reoperation, compared with 4.6% of patients who had no problems. They were also at a higher risk of death within 30 days after surgery, with 6.9% compared to 2.0% for no complications.

Those patients who experienced post surgery complications in the hospital and then other complications after discharge were at even higher risk. They faced a 33.7% chance of reoperation, and 24.7% risk of death.

The conclusion of the study found that post discharge rates, “vary by procedure, are commonly surgical site related, and are associated with mortality. Fastidious, procedure-specific patient triage at discharge as well as expedited patient follow-up could improve [post discharge] outcomes.”

The study invited a critique of the report by Desmond C. Winter, from St. Vincent’s University Hospital in Dublin, Ireland. He states that, “Complications are the statistics that define us all. Patient needs, not financial penalties, should be everyone’s primary focus. Let us see further advancements in surgical care through research funded by the proposed insurer savings and together strive for safer surgery.”

Read the study abstract at Archives of Surgery

Source: Medical News Today, Archives of Surgery


More on ActiveBeat
  • 6 Body Focused Repetitive Behaviors in Children
    Body focused repetitive behaviors (or BFRB’s) in children describe a group of frequently repeated behaviors that injure the body but are not classified as self-harm behaviors.
    Health Studies in the News
  • The 8 Dangers of Waist Training
    If you follow celebrity news at all, you’ve likely caught sight of a certain Kim Kardashian selfie that’s getting buzz.
    Health Studies in the News
  • Warning Signs You May Have a Blood Clot in Your Leg
    They might not sound very life threatening, but a blood clot that develops in the deep veins of your leg, if left untreated and unable to dissolve of its own volition, may detach...
    Health Studies in the News
  • Is Autism Linked To Flu During Pregnancy?
    A new study from Denmark has shown a possible connection between autism and a mother combating the flu during pregnancy.
    Health Studies in the News
  • Meningitis Outbreak Update: 31 Deaths
    The recent meningitis outbreak in the United States has claimed another victim. The Center for Disease Control and Prevention has put the death toll at 31, and the outbreak rate at...
    Health Studies in the News
  • Blood Clots Kill In Hospitals: Danger For Patients
    A report by the National Assembly for Wales claims that hundreds of patients are dying in Welsh hospitals due to undetected blood clots.
    Health Studies in the News
  • 9 Need to Know Sepsis Facts
    Sepsis is dangerous. Technically, it's a complication that's related to the body responding to an infection.
    Health Studies in the News
  • Most Common Lupus Symptoms and Risk Factors
    Lupus is an autoimmune disease (when your body's defense systems turn on you) and can cause chronic conditions lasting for years.
    Health Studies in the News
  • Health Facts to Know About Blood Clots
    Blood clots – they could be hiding in your body and lead to serious complications and even death, but how would you know if you have one?
    Health Studies in the News
  • Common Signs & Symptoms of a Blood Clot
    Blood clots typically form deep within the veins of the legs—deep vein thrombosis (DVT), and can travel through the body.
    Health Studies in the News
  • Surprising Factors That Can Raise Your Blood Sugar
    When you think of things that will raise your blood sugar, especially if you're a diabetic, you might think of things to avoid such as candy bars or pastries first.
    Health Studies in the News
  • How to Prevent and Treat Blood Clots
    A blood clot can be very, very dangerous. This lump-like collection of blood platelets and plasma proteins doesn't have to be large -- often, it's too small to even see -- but by...
    Health Studies in the News
  • Everything to Know About Blood Clotting Disorders in Children
    When it comes to blood clots, usually we tend to become more aware of their risk when we advance in age.
    Health Studies in the News
  • Ways to Speed Up Recovery After Surgery
    We all know that surgeons are very precise and that surgical procedures have come a long way over the years, but the truth is, you're still having a knife (or laser) making a hole...
    Health Studies in the News
  • Pulmonary Embolism: Symptoms, Causes, and Treatments
    A pulmonary embolism is as bad as it sounds – it can restrict blood flow to the lungs and cause damage, and in some cases it can be fatal, according to Healthline.com.
    Health Studies in the News