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Predictors for 30-day readmission after pulmonary resection for lung cancer.
- Source :
-
Journal of surgical oncology [J Surg Oncol] 2018 May; Vol. 117 (6), pp. 1239-1245. Date of Electronic Publication: 2018 Jan 22. - Publication Year :
- 2018
-
Abstract
- Background: The purpose of this study was to assess the rate, cause, and factors associated with readmissions following pulmonary resection for lung cancer and their relationship with 90-day mortality.<br />Methods: A prospective cohort study was conducted of 379 patients who underwent surgery for lung cancer at the university hospitals Granada, Spain between 2012 and 2016.<br />Results: The rate of readmissions within 30 postoperative days was 6.2%. The most common reason for readmission was subcutaneous emphysema (21.7%), pneumonia (13%), and pleural empyema (8.5%). A higher probability of requiring urgent readmission was associated with a higher Charlson index (OR 2.0,95% confidence interval 1.50-2.67, P = 0.001); peripheral arterial vasculopathy (OR 4.8, 95%CI 1.27-18.85, P = 0.021); a history of stroke (OR 8.2, 95%CI 1.08-62.37, P = 0.04); postoperative atelectasis (OR 4.7, 95%CI 1.21-18.64, P = 0.026); and air leaks (OR 12.6, 95%CI 4.10-38.91, P = 0.001).The prediction multivariable model for readmission represents an area under the curve (ROC) of 0.90. Mortality at 90 postoperative days in the group of readmitted patients was 13% versus 1.5 for the group of patients who did not require readmission (P < 0.001).<br />Conclusions: The factors predictive for readmission can help design individualized outpatient follow-up plans and programs for the reduction of readmissions.<br /> (© 2018 Wiley Periodicals, Inc.)
Details
- Language :
- English
- ISSN :
- 1096-9098
- Volume :
- 117
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Journal of surgical oncology
- Publication Type :
- Academic Journal
- Accession number :
- 29355966
- Full Text :
- https://doi.org/10.1002/jso.24973