The Analysis of Causes of Hospital Readmissions in The Patients who underwent Gastrectomy Because of Gastric Cancer in Van Province

INTRODUCTION: It was aimed to analyze the causes of hospital readmissions within the first 30 days after gastrectomy in the patients diagnosed with gastric cancer.
METHODS: The data of the patients who underwent gastrectomy with the diagnosis of gastric cancer between 01.01.2018 and 31.05.2022 were analyzed retrospectively using the hospital automation system. SPSS (Version 24) software package was utilized for comparison between patient data.
RESULTS: Totally 300 patients who underwent gastrectomy were included in the study. One hundred ten patients (36.7%) were female, 190 patients were (63.3%) male, and the mean age of the patients was 61. Within the first 30 days after gastrectomy and discharge, 65 patients readmitted to the hospital. The rate of hospital readmissions after gastrectomy was found to be 21.6%. The analysis of readmission causes revealed that headache, chest pain and abdominal pain were the most common rationales for readmissions. In the present study, the causes of readmissions were classified under three titles as pain, gastrointestinal symptoms and surgical site complications (SSC). No statistically significant relationship was found between the causes of readmissions and patient age, patient gender, type of the performed surgery and the fact whether neoadjuvant therapy was received (p>0.05).
DISCUSSION AND CONCLUSION: We conclude that providing a postoperative high quality healthcare for recovery in the patients who underwent gastrectomy will reduce the postoperative readmissions rates.