{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T01:54:27Z","timestamp":1780970067827,"version":"3.54.1"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,2,2]],"date-time":"2024-02-02T00:00:00Z","timestamp":1706832000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The 30\u2010day readmission rate provides a standardised quantitative evaluation of some postoperative complications. It is widely used worldwide in many medical and surgical specialities, and the World Health Organization recommends its use for monitoring healthcare system performance. In ophthalmology, its measurement is biased by the frequent and close planned surgery on one eye and then the other, particularly in the case of cataract surgery. This study measures the 30\u2010day unplanned readmission rate in ophthalmology, globally and by surgery subtype, and describes the causes of readmission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All patients readmitted within 30\u2009days of ophthalmic surgery at Nantes University Hospital between January 2017 and December 2020 were identified in the Medical Information System. An ophthalmologist examined each medical record and collected the following data: the reason for readmission, comorbidities, the pathology treated, surgery type, surgery duration, the surgeon's experience, anaesthesia type, severity and readmission morbidity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>For the 8522 ophthalmic surgeries performed in the four\u2010year study period, 282 30\u2010day unplanned readmissions were identified. The overall 30\u2010day unplanned readmission rate was 2.07% for elective surgery, with a high variability depending on the surgery type: 0.95% for phacoemulsification, 4.95% for vitreoretinal surgery (3.42% for non\u2010elective vitreoretinal surgery, 5.44% for retinal detachment surgery), 5.66% for deep lamellar keratoplasty and 11.90% for trabeculectomy. The unplanned 30\u2010day readmission rate for ocular trauma surgery (emergency care) was 11.0%. Seven percent of all unplanned 30\u2010day readmissions were not associated with an ophthalmological problem.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study is the first to report 30\u2010day unplanned readmission in ophthalmology, globally and by surgical subtype, for elective and urgent procedures. This indicator can be used longitudinally to detect an increase in risk or transversely to compare the quality of care between different public or private hospitals.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.16641","type":"journal-article","created":{"date-parts":[[2024,2,3]],"date-time":"2024-02-03T06:49:09Z","timestamp":1706942949000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Unplanned 30\u2010day readmission rate after ophthalmological surgery as a quality\u2010of\u2010care indicator"],"prefix":"10.1111","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3814-0503","authenticated-orcid":false,"given":"Audrey","family":"Crozet","sequence":"first","affiliation":[{"name":"Service d'Ophtalmologie CHU Nantes Ecole Centrale Nantes, LS2N, UMR6004, Nantes Universit\u00e9  Nantes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brice","family":"Leclere","sequence":"additional","affiliation":[{"name":"Public Health Department Nantes Universit\u00e9, CHU Nantes  Nantes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Martin","sequence":"additional","affiliation":[{"name":"Nantes Universit\u00e9, CHU Nantes, P\u00f4le Hospitalo\u2010Universitaire 11, Sant\u00e9 Publique, Clinique des donn\u00e9es, INSERM CIC 1413  Nantes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Goronflot","sequence":"additional","affiliation":[{"name":"Nantes Universit\u00e9, CHU Nantes, P\u00f4le Hospitalo\u2010Universitaire 11, Sant\u00e9 Publique, Clinique des donn\u00e9es, INSERM CIC 1413  Nantes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucie","family":"Cazet","sequence":"additional","affiliation":[{"name":"Structure R\u00e9gionale d'Appui Grand Est  Vand\u0153uvre\u2010l\u00e8s\u2010Nancy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1306-1908","authenticated-orcid":false,"given":"Jean\u2010Baptiste","family":"Ducloyer","sequence":"additional","affiliation":[{"name":"Nantes Universit\u00e9, Service d'Ophtalmologie CHU Nantes, Inserm, TARGET  Nantes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guyl\u00e8ne","family":"Le\u00a0Meur","sequence":"additional","affiliation":[{"name":"Nantes Universit\u00e9, Service d'Ophtalmologie CHU Nantes, Inserm, TARGET  Nantes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Lebranchu","sequence":"additional","affiliation":[{"name":"Service d'Ophtalmologie CHU Nantes Ecole Centrale Nantes, LS2N, UMR6004, Nantes Universit\u00e9  Nantes France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,2]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.14279"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2019.05.004"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyw359"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2018-312171"},{"key":"e_1_2_5_6_1","unstructured":"DGOS. 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