Evaluating unplanned readmission and prolonged length of stay following minimally invasive surgery for endometrial cancer

To evaluate risk factors for 30-day unplanned readmission and increased length of stay (LOS) following minimally invasive surgery (MIS) for endometrial cancer. This was a retrospective, case-control study using the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP...

Full description

Saved in:
Bibliographic Details
Published in:Gynecologic oncology 2020-01, Vol.156 (1), p.162-168
Main Authors: Kohut, Adrian, Earnhardt, Mary Cathryn, Cuccolo, Nicholas G., Kim, Chi-Son, Song, Mihae, Girda, Eugenia, De Meritens, Alexandre Buckley, Stephenson, Ruth, Balica, Adrian, Leiser, Aliza, Demissie, Kitaw, Rodriguez-Rodriguez, Lorna
Format: Article
Language:English
Subjects:
Aged
Case-Control Studies
Endometrial Neoplasms - epidemiology
Endometrial Neoplasms - surgery
Female
Humans
Length of Stay - statistics & numerical data
Logistic Models
Middle Aged
Minimally Invasive Surgical Procedures - adverse effects
Minimally Invasive Surgical Procedures - statistics & numerical data
Patient Readmission - statistics & numerical data
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Retrospective Studies
Sepsis - epidemiology
Sepsis - etiology
Surgical Wound Infection - epidemiology
Surgical Wound Infection - etiology
United States - epidemiology
Venous Thromboembolism - epidemiology
Venous Thromboembolism - etiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To evaluate risk factors for 30-day unplanned readmission and increased length of stay (LOS) following minimally invasive surgery (MIS) for endometrial cancer. This was a retrospective, case-control study using the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP). Multivariable logistic regression was used to assess perioperative variables associated with readmission and increased LOS after MIS for endometrial cancer. The study population included 10,840 patients who met the criteria of having undergone MIS with a resultant endometrial malignancy confirmed on postoperative pathology. Common reasons for readmission included organ/space surgical site infection (65 cases), sepsis/septic shock (19 cases), and venous thromboembolism (20 cases). Notable risk factors for readmission included (Odds Ratio, Confidence Interval, p-value): dialysis dependence (6.77, 2.51–17.80,
ISSN:0090-8258
1095-6859
DOI:10.1016/j.ygyno.2019.08.023