Table 1 Numbers of patient episodes/patients discussed and outcomes of the meeting
Length of stay > 7 days (n = 302 patient episodes) attributable to- | ||||
|---|---|---|---|---|
Complications 26% | Normal variant of disease 59% | Social reasons delaying discharge 15% | ||
Unplanned readmission to our hospital (under any specialty) within 30 days of a previous discharge from the GI surgical service (n = 282 patient episodes)- | ||||
n = 282 | Readmitted to GI Surgery 74%, Readmitted to other hospital specialties 26% | |||
n = 282 | Complications 19% | Ongoing symptoms 39% | Inadequate discharge arrangements <1% | Unrelated separate episode 42% |
Patient deaths in which there was a consultant GI surgical involvement (n = 48 patients)- | ||||
n = 48 | Elective patients 8% | Acute patients 92% | ||
n = 48 | Operated upon prior to death 38% | Not operated upon prior to death 62% | ||
n = 48 | Expected deaths 65% | Unexpected deaths 35% | ||
n = 48 | Senior decision making 98% | No senior decision making 2% | ||
Returns to theatre after initial operation within the same admission (n = 32 patients)- | ||||
n = 32 | At least one unplanned return to theatre within same admission (24 patients) | Planned returns to theatre- decision made at initial operation (8 patients) | ||
Reasons- anastomotic leak (7), bleeding (3), full thickness wound dehiscence (2), Non-anastomotic infarcted bowel (2), operative abscess drainage (2), small bowel obstruction (2), other (6) | Reasons- Planned re-look laparotomies (4), planned pre-discharge ERCP (1), planned re-endoscopic dilatation (1), insertion of CVP line in theatre (1), planned EUA of abscess (1) | |||