MTP5.01 Readmission Rates After Pancreatic and Liver Resection

Aim This study evaluates 30-day readmission rates after pancreatic and liver resections at the Royal Free London NHS Foundation Trust, assesses adherence to national and international standards, and identifies factors contributing to readmissions. Methods A retrospective analysis was performed on 366 patients who underwent pancreatic and liver resections from June 2023 to June 2024. Data on demographics, reasons for readmission, and clinical outcomes were collected and analyzed to identify significant predictors of readmission. Results Among 366 resections (171 pancreatic, 190 liver, and 5 combined), the overall 30-day readmission rate was 12.45% (n=45), with 13.45% for pancreatic and 11.50% for liver resections. Of the readmitted patients, 71% (n=32) presented to the Royal Free London, and 29% (n=13) presented to local hospitals, with 11 transferred to the Royal Free. Readmission causes included collections (28.9%), intestinal obstruction (17.8%), wound-related issues (13.3%), and medical complications (26.7%). Interventions were required in 34.8% of cases: radiological (n=10), surgical (n=2), and endoscopic (n=1). The median length of stay (LoS) during the index admission was 10 days (range 4–55, p=0.02). The mean Comprehensive Complication Index (CCI) of readmitted patients was 17.88 ± 16.66 (p=0.0006). Conclusion The 30-day readmission rate after pancreatic and liver resections at our institution aligns with international benchmarks. Postoperative collections and medical complications were the most common causes, with one-third of readmitted patients requiring interventions. Enhanced perioperative care and closer post-discharge monitoring could help reduce readmissions and improve outcomes.