View : 615 Download: 0
Association of pre-operative medication use with unplanned 30-day hospital readmission after surgery in oncology patients receiving comprehensive geriatric assessment
- Title
- Association of pre-operative medication use with unplanned 30-day hospital readmission after surgery in oncology patients receiving comprehensive geriatric assessment
- Authors
- Jeon, Min Sun; Jeong, Young Mi; Yee, Jeong; Lee, Eunsook; Kim, Kwang-Il; Lee, Byung Koo; Rhie, Sandy Jeong; Chung, Jee Eun; Gwak, Hye Sun
- Ewha Authors
- 곽혜선; 이병구; 이정연
- SCOPUS Author ID
- 이병구; 이정연
- Issue Date
- 2020
- Journal Title
- AMERICAN JOURNAL OF SURGERY
- ISSN
- 0002-9610
1879-1883
- Citation
- AMERICAN JOURNAL OF SURGERY vol. 219, no. 6, pp. 963 - 968
- Publisher
- EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- Abstract
- Background: This study aimed to determine whether pre-operative medication use is associated with unplanned 30-day readmission in elderly people undergoing cancer surgery. Methods: Patients aged 65 years or older who were scheduled for cancer surgery and presented for comprehensive geriatric assessment were included. Comparisons of variables between patients with readmission and those without readmission were performed by univariate and multivariate analyses. Results: A total of 473 patients were included. Multivariate analysis showed that pre-operative discontinuation-requiring medications (PDRMs) and gastrointestinal/hepato-pancreato-biliary (GI/HPB) cancer were significant factors for 30-day readmission. PDRM increased the risk of readmission by about 2.2-fold. Attributable risk of PDRM to readmission was around 55%. The adjusted odds ratio and attributable risk for GI/HPB surgery was 3.4 (95% CI 1.0-11.5) and 70.8%, respectively. Conclusions: Medication use has an impact on unplanned 30-day readmission in geriatric oncology patients, further highlighting the importance of medication optimization for elderly patients with cancer surgery. (C) 2019 Elsevier Inc. All rights reserved.
- DOI
- 10.1016/j.amjsurg.2019.06.020
- Appears in Collections:
- 약학대학 > 약학과 > Journal papers
- Files in This Item:
There are no files associated with this item.
- Export
- RIS (EndNote)
- XLS (Excel)
- XML