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Research Letter
June 28, 2017

Association of Procedures and Patient Factors With 30-Day Readmission Rates After Pediatric Surgery

Author Affiliations
  • 1Division of Pediatric Surgery, University of California, Davis Medical Center
JAMA Surg. Published online June 28, 2017. doi:10.1001/jamasurg.2017.1722

Efforts to create verified pediatric surgical centers require rigorous standards to ensure quality across surgical specialties. However, risk factors for readmission after pediatric surgery are poorly understood. This study aims to identify surgical procedures and patient factors associated with increased rates of readmission from the American College of Surgeons Pediatric National Surgical Quality Improvement Program (NSQIP-P) database.

A retrospective review of data from the American College of Surgeons NSQIP-P Participant Use Data File from 2012 to 2014 was performed. The NSQIP-P collects data on 147 variables, including preoperative risk factors and intraoperative variables, and tracks 30-day outcomes.1 The data include children younger than 18 years at 56 children’s hospitals in the United States. This research was deemed exempt by the University of California, Davis institutional review board, which waived the need for patient consent because this was an analysis of a national, deidentified database.

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