Preoperative Nomogram Predicts Non-home Discharge in Patients Undergoing Pancreatoduodenectomy

Background In patients undergoing pancreatoduodenectomy, non-home discharge is common and often results in an unnecessary delay in hospital discharge. This study aimed to develop and validate a preoperative prediction model to identify patients with a high likelihood of non-home discharge following...

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Bibliographic Details
Published in:Journal of gastrointestinal surgery 2021-05, Vol.25 (5), p.1253-1260
Main Authors: Flick, Katelyn F., Schmidt, C. Max, Colgate, Cameron L., Yip-Schneider, Michele T., Sublette, Chris M., Maatman, Thomas K., Soufi, Mazhar, Ceppa, Eugene P., House, Michael G., Zyromski, Nicholas J., Nakeeb, Attila
Format: Article
Language:English
Subjects:
Age
Cancer
Discharge
Dyspnea
Gastroenterology
Hospitals
Humans
Logistic Models
Medical diagnosis
Medicine
Medicine & Public Health
Mental health
Nomograms
Nursing
Original Article
Pancreas
Pancreaticoduodenectomy
Pancreaticoduodenectomy - adverse effects
Patient Discharge
Perioperative care
Postoperative period
Rehabilitation
Risk Factors
Surgery
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Summary:Background In patients undergoing pancreatoduodenectomy, non-home discharge is common and often results in an unnecessary delay in hospital discharge. This study aimed to develop and validate a preoperative prediction model to identify patients with a high likelihood of non-home discharge following pancreatoduodenectomy. Methods Patients undergoing pancreatoduodenectomy from 2013 to 2018 were identified using an institutional database. Patients were categorized according to discharge location (home vs. non-home). Preoperative risk factors, including social determinants of health associated with non-home discharge, were identified using Pearson’s chi-squared test and then included in a multiple logistic regression model. A training cohort composed of 80% of the sampled patients was used to create the prediction model, and validation carried out using the remaining 20%. Statistical significance was defined as P  
ISSN:1091-255X
1873-4626
DOI:10.1007/s11605-020-04689-1