Abstract
Introduction
Previous studies showed high hospital readmission rates after radical cystectomy (RC)
for bladder cancer (BCa), however at the time results of a European series analyzing
this event were still missing.
Patients and Methods
Overall, 1090 consecutive BCa patients treated with RC at a single center between
January 2002 and August 2012 were identified. Logistic regression analyses were used
to test the association between covariates and 30-day readmission in the overall population
and after stratifying according age at the time of surgery.
Results
Mean length of stay (LOS) was 19 days (median, 16 days), and the overall 30-day readmission
rate was 12.2%. The most frequent reasons for readmission at 30 days were ileus (n =
15; 11.3%), lymphoceles (n = 11; 8.3%), wound infection (n = 10; 7.5%), and fever
(n = 12; 9.0%). In multivariable logistic regression analysis, age (odds ratio [OR],
1.02; P = .04) and LOS (OR, 0.94; P < .01) were associated with 30-day readmission. However, when analyzed according
age at the time of surgery, a beneficial effect from a longer LOS was observed only
in patients older than 70 years (P < .003).
Conclusion
In the first European series on the effect of 30-day readmission, our data showed
that even with a relative high mean LOS, 30-day readmission remained an ineradicable
factor. Of note, older patients and shorter LOS were associated with an increased
risk of readmission at 30 days, however, an increase of LOS to prevent readmission
seemed effective only in patients older than 70 years.
Keywords
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Article info
Publication history
Published online: December 23, 2015
Accepted:
December 16,
2015
Received in revised form:
December 14,
2015
Received:
October 14,
2015
Identification
Copyright
© 2015 Elsevier Inc. All rights reserved.
