{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T01:21:50Z","timestamp":1791681710585,"version":"4.3.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2025,8,24]],"date-time":"2025-08-24T00:00:00Z","timestamp":1755993600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Unplanned hospital readmissions within 30\u00a0days of discharge for trauma (UR-30) are associated with adverse outcomes but remain underexplored in trauma populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study retrospectively reviewed 164 trauma patients at a Level I center during 2022-2023, analyzing demographics, comorbidities, injury severity, socioeconomic factors, medications, and hospital events. Propensity matching ensured comparability between 82 UR-30 and 82 patients not readmitted (NoReadmission-30).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Key findings include median hospital length of stay (LOS) of 5 days for UR-30 vs 3 days for NoReadmission-30 (\n                      <jats:italic>P<\/jats:italic>\n                      = .022) and ICU LOS of 2 vs 0 days (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), respectively. Final in-hospital hemoglobin was lower in UR-30 (10.7 vs 12;\n                      <jats:italic>P<\/jats:italic>\n                      = .014). Discharge home rates were lower for UR-30 (51.2% vs 69.5%;\n                      <jats:italic>P<\/jats:italic>\n                      = .017). Transfusion requirements significantly increased readmission risk, with UR-30 patients 6.7 times more likely to be readmitted. Significant comorbidities included smoking (\n                      <jats:italic>P<\/jats:italic>\n                      = .042), hyperlipidemia (\n                      <jats:italic>P<\/jats:italic>\n                      = .012), CHF (\n                      <jats:italic>P<\/jats:italic>\n                      = .013), substance use disorder (\n                      <jats:italic>P<\/jats:italic>\n                      = .043), and \u22653 comorbid diagnoses (\n                      <jats:italic>P<\/jats:italic>\n                      = .001). Most readmissions were for infections, neurological decline, and inadequate pain control. Discharge on anticoagulants (\n                      <jats:italic>P<\/jats:italic>\n                      = .007) or with \u22657 discharge medications (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) increased readmission likelihood, while chronic NSAID use reduced it (\n                      <jats:italic>P<\/jats:italic>\n                      = .046). Family as PoA was more common in UR-30 (83% vs 40%;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Non-significant factors included discharge vital signs, injury mechanism, insurance, and race.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>UR-30 occurs predominantly in moderately injured patients and is influenced by ICU and hospital LOS, discharge disposition, comorbidities, and transfusion status, underscoring its value as a trauma quality metric.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348251371213","type":"journal-article","created":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T06:52:27Z","timestamp":1756104747000},"page":"1862-1867","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Risk Factor Analysis for Trauma Patients Readmitted Within 30 Days"],"prefix":"10.1177","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-2143-0839","authenticated-orcid":false,"given":"Hannah","family":"Tan","sequence":"first","affiliation":[{"name":"Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seth A.","family":"Battad","sequence":"additional","affiliation":[{"name":"Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7541-8320","authenticated-orcid":false,"given":"Caleb W.","family":"Brown","sequence":"additional","affiliation":[{"name":"Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derek C.","family":"Wenger","sequence":"additional","affiliation":[{"name":"Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis N.","family":"Lacey","sequence":"additional","affiliation":[{"name":"Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jared M.","family":"Lentchner","sequence":"additional","affiliation":[{"name":"Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3553-2071","authenticated-orcid":false,"given":"Michael A.","family":"Zaskey","sequence":"additional","affiliation":[{"name":"Department of Surgery, Quillen College of Medicine, Johnson City, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah A.","family":"King","sequence":"additional","affiliation":[{"name":"Department of Surgery, Trauma Division, Johnson City Medical Center, Ballad Health, Johnson City, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah E.","family":"Collins","sequence":"additional","affiliation":[{"name":"Department of Surgery, Trauma Division, Johnson City Medical Center, Ballad Health, Johnson City, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lou M.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Surgery, Quillen College of Medicine, Johnson City, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Bracken","family":"Burns","sequence":"additional","affiliation":[{"name":"Department of Surgery, Quillen College of Medicine, Johnson City, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,24]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-024-04875-9"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/ta.0000000000003351"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-023-02664-9"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-024-04895-6"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2023.03.009"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2014.06.026"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/ta.0000000000002339"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2015.09.018"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjebm-2018-111026"},{"key":"e_1_3_3_11_2","volume-title":"Polypharmacy","author":"Varghese D","year":"2024","unstructured":"Varghese D, Icheda C, Preeti P, et al. 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