Study on Surgical Re-Admission in DMCH

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.