Table 7 Overview of the literature
From: Readmission after rectal resection in the ERAS-era: is a loop ileostomy the Achilles heel?
Sample size | Readmission rate (%) | Reason readmission | Risk factors | Protective factors | |
|---|---|---|---|---|---|
Li et al. 2017 [13] | 1267 | 12.9 | Infections (3.4%) Small bowel obstruction/ileus (3.3%) Dehydration (38.3%) | Cardiovascular factors (OR 2.0) Renal comorbidity (OR 2.9) Preoperative chemo/radiotherapy (OR 4.0) Laparoscopic approach (OR 1.7) Longer operative time (OR 1.2) Due to dehydration: Chemo/radiotherapy (OR 4.7) Laparoscopic approach (OR 2.6) | Cancer diagnosis (OR 0.2) |
Fish et al. 2017 [7] | 407 | 28 | Dehydration (42%) Intraperitoneal infections (33%) Extraperitoneal infections (29%) | Clavien-Dindo complication grade 3 to 4 (OR 6.7) Charlson comorbidity index (OR 1.4 per point) Loop stoma (OR 2.2) | Longer length of stay (OR 0.5) Age 65 years or older (OR 0.4) |
Shah et al. 2017 [14] | 707 | 12 | Ileostomy | Enhanced recovery protocol | |
Wood et al. 2017 | 2876 | 8.2 | Ileus and nausea/vomiting (26.1%) Intra-abdominal ascess (23.9%) SSI (11.5%) | Rectal surgery (OR 1.89) Stoma formation (OR 1.34) Reoperation during first admission (OR 4.60) | |
Justiniano et al. 2018 [8] | 262 | 30 | Dehydration (37%) | ||
Hayden et al. 2012 | 154 | 20.1 | Use of anti-diarrheals Neoadjuvant therapy | ||
Messaris et al. 2012 [16] | 603 | 16.9 | Dehydration (43.1%) | Laparoscopic approach Lack of epidural aneshtesia Preoperative use of sterois Postoperative use of diuretics | |
Hardiman et al. 2016 [17] | 430 | 26 | |||
Charak et al. 2018 [18] | 99 | 36 | Dehydration (39%) Infection (33%) Obstruction (3%) | ||
Grahn et al. 2018 | 100 | 19.6–20.4 | Dehydration (5.9–8.2%) Acute renal failure events (3.9–10.2%) | Weekend discharges to home (OR 4.5) | |
Iqbal et al. 2018 [20] | 86 | 26 | Preoperative steroid use History of diabetes History of depression Lack of hospital social worker or postoperative ostomy education Presence of complications after the index procedure | ||
Paquette et al. 2013 [21] | 201 | 17 | Age greater than 50 IPAA | ||
Chen et al. 2018 [22] | 8064 | 20.1 | ASA class III Female sex IPAA Age > 65 Shortened length of stay ASA class I to II with IBD Hypertension |