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The Frequency of Unplanned Rehospitalization and Associated Factors in Gyneoncology Patients: A Retrospective Study
  1. Gul Pinar, PhD, RN,
  2. Ayse Akalin, PhD, RN,
  3. Hulya Erbaba, MSN, RN,
  4. Gokce Banu Acar, MSN, RN,
  5. Filiz Avsar, MD and
  6. Tevfik Pinar, MD
  1. * Department of Nursing, Faculty of Health Sciences, Yildirim Beyazit University;
  2. Department of Oncology, Ankara Atatürk Training and Research Hospital;
  3. Department of Obstetrics and Gynecology, Faculty of Medicine, Yildirim Beyazit University; and
  4. § Faculty of Medicine, Department of Public Health, Hacettepe University, Ankara, Turkey.
  1. Address correspondence and reprint requests to Gul Pinar, PhD, Department of Nursing, Faculty of Health Sciences, Yildirim Beyazit University, Cankiri Street, No:3 Ulus Ankara, Turkey. E-mail: gulpinarybu{at}gmail.com.

Abstract

Objective In this study, we aim to analyze rate and associated factors with unplanned rehospitalization in gynecological cancer patients.

Materials and Methods 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.

Results 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).

Conclusions 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.

  • Rehospitalization
  • Quality of care
  • Gynecological oncology

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Footnotes

  • The authors declare no conflicts of interest.

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