Readmission rate after epilepsy surgery: A systematic review and meta-analysis [post]

Soheila Mir, Anis Jor, Morteza Salarzaei
2020 unpublished
ObjectiveToday, quality of care has become a central issue with regard to redesigning health care delivery. For improvement of quality of care, measurement and analysis of outcomes is essential. the aim of this study is to evaluate the 30 day readmission rate of epilepsy surgery.Material and MethodsA systematic literature review was performed in April 2020. We reviewed MEDLINE/PubMed, Cochrane Library, and ClinicalTrials.gov for citation or ongoing trials from January 2010 to March 2020. The
more » ... March 2020. The search criteria were limited to human studies published in English language. The Medical Subject Headings terms used for the search in PubMed were 'epilepsy surgery' ,'readmission', 'reoperation ' and 'neurological surgery'. We used random-effects meta-analyses to estimate pooled risk ratios and 95% confidence intervals for early readmissionResultsIn the 7trials reporting readmission rates, the overall prevalence of readmission and re-operation within 30 days was 10% and 9%. The most common cause of re-admission was seizure(31.6%). The overall mean Elixhauser index among readmitted patients after epilepsy surgery was 8.05.ConclusionMinimizing factors that contribute to readmission in various patient populations and procedures becomes important for patient care, resource utilization, and physician reimbursement.understanding about a readmission rate of 10% can be useful to health systems designing quality improvement efforts.Awareness of the reasons for readmission is important for patient counseling and surgical decision making.In epilepsy surgery, although our study did not show a significant difference but ,readmissions might be reduced with optimization of pre-existing comorbidities
doi:10.21203/rs.3.rs-31532/v1 fatcat:c7cn5h7ebnadfcfgjmqxbzj7fm