Abstract
Aim: The aim of this study was to evaluate unplanned emergency room visits due to postoperative complications. The present study was to determine incidence rates of and clinic and laboratory causes of readmissions due to postoperative complications. Materials and Methods: This prospective study included 300 of 640 patients who presented to Emergency Service of Gaziosmanpaşa University, Faculty of Medicine Hospital due to postoperative complications in May 2014 and April 2015 period. The data were recorded in the SPSS environment. Qualitative data were analyzed using Chi-square tests. Quantitative data were analyzed using one-way analysis of variance. Tukey test was used for multiple comparisons. Results: The unplanned readmission rate is a nation-wide measure of hospital care outcomes. Of all 11,755 patients presenting to our emergency department, 640 applied for postoperative complications. Re-operation is associated with older age, high mean arterial pressure and recurrent emergency readmission. Average CRP was significantly higher in this group of patients admitted to the emergency service with postoperative complications for reoperation. These patients had wound infections (20.3%), hemorrhage-hematoma (10%) and pulmonary embolism (2.33%). The incidence rates for these conditions were higher than the rates reported in literature. Conclusions: Patients with old age, comorbid diseases, elevated CRP and long hospitalizations should be discharged from hospital after they have been informed about the complications that may develop. Emergency care should be given more carefully to patients with recurrent readmissions because of their high morbidity and mortality rates. Taking necessary precautions will significantly reduce both cost and number of emergency service visits.
Published Version
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