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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