The Value of Educational Guidance of a Pancreatitis Consult Service Through Guideline-Based Management of Acute Pancreatitis

0.4%, P , .01). Readmitted patients were less likely to receive endoscopic retrograde cholangiopancreatography (ERCP) (61% vs 69%, P, .01) and laparoscopic cholecystectomy (LC) (12.5% vs 26%, P , .01) during the index admissions. A total of 42,150 hospital days was associated with readmission, and the total healthcare in-hospital economic burden was $112 million (in costs) and $470 million (in charges). Independent predictors of readmission were male sex, Medicare (compared to private) insurance, higher Elixhauser comorbidity score, no ERCP or LC, postprocedural complications of the digestive system, hemodynamic or respiratory support, urban hospitals, and lower hospital volume of uncomplicated choledocholithiasis. Conclusion: The uncomplicated choledocholithiasis 30-day readmission rate is 9.3%. Readmission was associated with higher mortality, morbidity, and resource use. Multiple independent predictors of readmission were identified.