RISK FACTORS FOR 30-DAY READMISSION AFTER SURGICAL TREATMENT OF GASTRIC CANCER: A SINGLE-CENTER EXPERIENCE

Authors

DOI:

https://doi.org/10.11603/2414-4533.2025.2.15284

Keywords:

nutritional status, sarcopenia, frailty, complications, readmissio, gastric cancer

Abstract

The aim of the work: to determine the frequency and risk factors for 30-day readmission after gastrectomy for gastric cancer at a single specialized oncologic center.

Materials and Methods. A retrospective single-center cohort study included 145 patients who underwent surgery in 2024. Clinical, demographic, nutritional parameters, comorbidities, type of surgery, and postoperative complications were analyzed. Univariate and multivariate logistic regression was applied to identify independent risk factors.

Results. The 30-day readmission rate was 9.7%. The leading causes included gastrointestinal complications, infections, and exacerbation of chronic conditions. Independent risk factors were: sarcopenia (OR=3.92; 95 % CI: 1.54–9.94), postoperative complications Clavien-Dindo ≥II (OR=2.61; 95 % CI: 1.18–5.78), operation time >4 hours (OR=2.45; 95 % CI: 1.01–5.94). The findings are consistent with literature data highlighting the multifactorial nature of readmissions. Nutritional status and frailty play a significant role.

Conclusions. Timely assessment of nutritional status, sarcopenia, and enhanced postoperative monitoring can reduce the risk of readmission.

References

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Published

2025-05-28

How to Cite

KONDRATSKYI, Y. M., KOVAL, N. O., KOLESNYK, A. V., SHUDRAK, Y. A., DOBRZHANSKYI, O. Y., PEPENIN, M. O., … TURCHAK V. О. (2025). RISK FACTORS FOR 30-DAY READMISSION AFTER SURGICAL TREATMENT OF GASTRIC CANCER: A SINGLE-CENTER EXPERIENCE. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (2), 90–96. https://doi.org/10.11603/2414-4533.2025.2.15284

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No. 2 (2025)

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EXPERIENCE OF WORK

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Copyright (c) 2025 Ю. М. КОНДРАЦЬКИЙ, Н. О. КОВАЛЬ, А. В. КОЛЕСНИК, Є. А. ШУДРАК, О. Ю. ДОБРЖАНСЬКИЙ, М. О. ПЕПЕНІН, А. В. ГОРОДЕЦЬКИЙ, Я. О. СВІЧКАР, І. О. УКРАЇНЕЦЬ, Є. О. КОЗАК, В. О. ТУРЧАК

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