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SAGES 2026 Annual Meeting Emerging Technology Session
March 25-28, 2026 | Tampa, FL, USA
P082
Predictors of VTE-Related Readmission After Ventral Hernia Repair: A National Readmissions Database Study
Poster Presenter
Authors
Robert Jensen, Carlos Balthazar da Silveira, Ana Dias Rasador, Jonathan Scott Selway, Paul Zakarian, Austin A Charles, Alexandra Janssen, Agnes Premkumar, Robert Easter, Vikram Deka, Conrad Ballecer, Thomas Gillespie
Affiliations
Creighton University School of Medicine, St. Joseph's Hospital and Medical Center, Creighton University School of Medicine, ,
Part of Topic
Abdominal Wall Hernias
Predictors of VTE-Related Readmission After Ventral Hernia Repair:
A National Readmissions Database Study
Background
•Ventral hernia repair (VHR) is a common surgical procedure, and venous thromboembolism (VTE) events are recognized complications following surgery.
•VTE events after VHR are associated with substantial clinical, emotional, and financial burdens.
•Our objective was to identify patient- and hospital-level predictors of 30-day VTE-specific readmission following VHR.
Methods
National Readmission Database searched
for patients who underwent VHR.
•Unplanned 30-day VTE-specific readmission following index VHR.
•Secondary Outcome: All-cause 30-day readmission following index VHR.
•
> Statistics: Weighted logistic regression.
385,306 patients
Baseline Characteristics:
•Mean Age: 60.2 years
•Sex: 54.5% Female
Primary Payer (%, SE)
•Medicaid: 15.4 (0.15)
•Medicare: 46.6 (0.17)
•Private: 30.3 (0.17)
Self-Pay: 4.28 (0.08)
•Overall 30-day Unplanned Readmission: 11.7%
•VTE-Specific 30-day Readmission: ~0.24%
Summary of Findings
|
Category |
Characteristic / Variable |
Outcome Measured |
Association (Odds Ratio, 95% CI) |
|
Patient-Level Predictors |
Age > 45 years |
All-cause readmission |
OR 1.53 (1.08–2.15); OR 2.03 (1.34–3.07) (vs 18-44 years) |
|
Female Sex |
VTE-specific readmission |
OR 1.24 (1.01–1.53) |
|
|
Higher Charlson Comorbidity Index (CCI) |
All-cause readmission |
OR 1.42 (CCI=2); OR 1.95 (CCI>3) (vs CCI 0-1) |
|
|
Discharge Disposition |
Discharged to Short-Term Facility/Home Health |
All-cause readmission |
OR 2.26 (1.86–2.74) |
|
Surgical Approach |
Minimally Invasive versus open |
VTE-specific readmission |
OR 0.69, p=0.005 |
|
Postoperative Complications |
Respiratory Failure |
VTE-specific readmission |
OR 1.43 (1.06, 1.93); p<0.001
|
Conclusion
•Older age and female sex independently predicted VTE-specific 30-day readmission.
•Markers of medical complexity and need for post-acute care strongly predicted all-cause readmission.
•Our analysis supports intensified
perioperative VTE risk assessment and prophylaxis for older and medically complex VHR patients and closer post-discharge surveillance for those requiring non-home disposition.