Description

Parikh et al reported a number of risk factors for readmission following an admission for acute cholangitis. The authors are from the Cleveland Clinic.


Patient: acute cholangitis

 

Readmission rate: 21%

 

Risk factors associated with an increased risk of readmission:

(1) diabetes mellitus

(2) higher Charlson comorbidity index (> 3)

(3) pancreatic neoplasm

(4) percutaneous drainage

(5) length of stay > 3 days

(6) acute respiratory failure

 

Risk factors associated with a lower risk of readmission:

(1) ERCP at index admission

(2) cholecystectomy

(3) self-pay (nor Medicare, not Medicaid, not private insurance)

(4) age >= 65 years

(5) morbid obesity

(6) cholelithiasis or choledocholithiasis


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