+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Risk factors associated with postoperative hospital stay after pancreaticoduodenectomy: a retrospective study



Risk factors associated with postoperative hospital stay after pancreaticoduodenectomy: a retrospective study



Chinese Medical Journal 126(19): 3685-3689



Postoperative hospital stay after pancreaticoduodenectomy (PD) is relatively longer than after other gastrointestinal operations. The aim of the current study was to investigate the risk factors associated with prolonged hospital stay after PD. Patients who had PD at the Cancer Hospital of Chinese Academy of Medical Sciences between December 2008 and November 2012 were selected for this retrospective study. Clinical and pathological data were collected and analyzed. The primary outcome was postoperative length of stay. Normal discharge or recovery was defined as a postoperative hospital stay of no more than 10 days; otherwise it was defined as delayed discharge or recovery (including hospital death). A total of 152 patients were enrolled in the present study. Postoperative hospital stay was (19.7 ± 7.7) days (range 7-57). Of the 152 patients, 67 were discharged within the normal time and 85 had delayed discharge. Postoperative complications occurred in 62.5% (95/152), and the mortality rate was 3.29% (5/152). Multiple regression analysis showed that delayed discharge was significantly associated with postoperative complications (adjusted odds ratio (OR) 10.40, 95% confidence interval (CI) 3.58-30.22), age (adjusted OR 4.09, 95% CI 1.16-14.39), body mass index (BMI) (adjusted OR 4.40, 95% CI 1.19-16.23), surgical procedure (adjusted OR 26.14, 95% CI 4.94-153.19), blood transfusion (adjusted OR 7.68, 95% CI 2.09-28.27), and fluid input (adjusted OR 3.47, 95% CI 1.24-11.57). Postoperative complications increase the time to postoperative hospital discharge. The length of hospital stay after PD is also associated with age, BMI, blood transfusion, surgical procedure, and fluid input. Further studies with more patients are needed in future.

(PDF emailed within 1 workday: $29.90)

Accession: 055579805

Download citation: RISBibTeXText

PMID: 24112164


Related references

Bariatric patients' nutritional status as a risk factor for postoperative complications, prolonged length of hospital stay and hospital readmission: A retrospective cohort study. International Journal of Surgery 56: 210-214, 2018

Postoperative stay following colorectal surgery: a study of factors associated with prolonged hospital stay. Annals of the Royal College of Surgeons of England 85(2): 111-114, 2003

Risk factors associated with prolonged hospital length-of-stay: 18-year retrospective study of hospitalizations in a tertiary healthcare center in Mexico. Plos One 13(11): E0207203, 2018

NSAID use and risk of postoperative pancreatic fistulas following pancreaticoduodenectomy: a retrospective cohort study. Hpb 18: E403-E404, 2016

Risk factors of serious postoperative complications after pancreaticoduodenectomy and risk calculators for predicting postoperative complications: a nationwide study of 17,564 patients in Japan. Journal of Hepato-Biliary-Pancreatic Sciences 24(5): 243-251, 2017

Risk factors for intra-abdominal infection after pancreaticoduodenectomy - a retrospective analysis to evaluate the significance of preoperative biliary drainage and postoperative pancreatic fistula. Hepato-Gastroenterology 59(116): 1270-1273, 2012

Early postoperative hyperglycaemia is not a risk factor for infectious complications and prolonged in-hospital stay in patients undergoing oesophagectomy: a retrospective analysis of a prospective trial. Critical Care 8(6): R437-R442, 2004

Risk factors for pancreatic fistula following pancreaticoduodenectomy: A retrospective study in a Thai tertiary center. World Journal of Gastrointestinal Surgery 9(12): 270-280, 2018

A study to determine risk factors for prolonged hospital stay after day-case laparoscopic cholecystectomy in comparison to risk factors for conversion to open. Hpb 18: E501-E502, 2016

Provider versus patient factors impacting hospital length of stay after pancreaticoduodenectomy. Surgery 154(2): 152-161, 2013

Postoperative complications in elderly patients following pancreaticoduodenectomy lead to increased postoperative mortality and costs. A retrospective cohort study. International Journal of Surgery 60: 204-209, 2018

Relationship between Preoperative Risk Factors, Postoperative Length of Stay, Morbidity, Mortality and Hospital Costs in Coronary Bypass Surgery. Anesthesiology Abstracts of Scientific Papers Annual Meeting (2000): Abstract No 239, 2002

Pre- and intra-operative predictors of postoperative hospital length of stay in patients undergoing radical prostatectomy for prostate cancer in China: a retrospective observational study. Bmc Urology 18(1): 43, 2018

Risk factors for early postoperative complications and length of hospital stay in ileocecal resection and right hemicolectomy for Crohn's disease: a single-center experience. International Journal of Colorectal Disease 2018, 2018

Factors Associated with a Prolonged Length of Hospital Stay in Patients with Diabetic Foot: A Single-Center Retrospective Study. Archives of Plastic Surgery 44(6): 539-544, 2017