Study on Surgical Re-Admission in DMCH

Authors

  • Md Margub Hussain Retired Professor of Surgery, Dhaka Medical College and Hospital, Bangladesh
  • Abdullah Al Mamun Chowdhury Medical Officer, Surgery, Upazilla Health Complex, Chandanaish, Chittagong

DOI:

https://doi.org/10.3329/jbcps.v37i2.40560

Keywords:

Study on Surgical, DMCH

Abstract

Introduction: Re-admission of surgical patients following discharge from a surgical care unit to the same or different hospital is not uncommon. Underlying causes varied. Majority of re-admission are unplanned. Postoperative complications are mainly responsible for patients to seek re-admission. Post operative complications are the mainly liable for surgical re-admission.

Methods: A prospective study was performed in General Surgical units of Dhaka Medical College Hospital, Dhaka for one year from August’2011 to July’2012. Amongst the patients admitted in surgical units, all re-admitted patients within the period had been studied. Purposive sampling was done. Rate, cause, avoidability etc. were studied according to criteria.

Results: Among 4396 admitted patients 294 (7%) had history of previous admission in surgical department of different hospitals. 65% patients were male and 70.07% were middle aged (20-50yr). 67% re-admisssion occurred through emergency department of which 67.7% were unplanned. 58% re-admission were avoidable. Diagnosis at readmission contains quite a long list but notables were loop ileostomy (23.47%), enterocutaneous fistula (10.54%), incisional hernia (9.52%), mature colostomy (8.84%), wound infection (8.5%) and subacute intestinal obstruction (4.76%).

Conclusion: Re-admission can be a contributing factor to assess quality and performance. It should be focused in audit and practice.

J Bangladesh Coll Phys Surg 2019; 37(2): 54-59

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Published

2019-03-13

How to Cite

Hussain, M. M., & Chowdhury, A. A. M. (2019). Study on Surgical Re-Admission in DMCH. Journal of Bangladesh College of Physicians and Surgeons, 37(2), 54–59. https://doi.org/10.3329/jbcps.v37i2.40560

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Section

Original Articles