Hospital readmissions are an important quality indicator¹; however, Mull et al² emphasize that, unlike for patients with an index admission for medical treatment, all-cause readmission is not an appropriate indicator of quality of care for postoperative patients. In a modified Delphi process, a multidisciplinary panel assessed diagnosis codes related to 30-day postoperative readmission in a Veterans Affairs population and found that one-third of postoperative readmissions are unlikely to reflect deficiencies in surgical quality. Their findings are similar to those reported by Marks and colleagues³ in a smaller pediatric population. As government and private payers implement pay-for-performance metrics, the current study cautions that not every surgical readmission reflects poor quality and not every readmission should be penalized.

医院再入院是一个重要的质量指标¹ ; 然而，Mull等[ ^2]强调，与因接受索引治疗而接受医学治疗的患者不同，全因再入院并不是术后患者护理质量的适当指标。在改进的Delphi流程中，一个多学科小组评估了与退伍军人事务部30天术后再入院相关的诊断代码，发现三分之一的术后再入院不太可能反映出手术质量的缺陷。他们的发现与Marks及其同事^3的报道相似。在较小的儿科人群中。随着政府和私人付款人实施按绩效付费的指标，当前的研究警告说，并非每次手术再入院都反映出质量差，也不应该对每次再入院都进行处罚。