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

HFCAS OpenIR

	Risk factors associated with postoperative hospital stay after pancreaticoduodenectomy: a retrospective study
其他题名	Risk factors associated with postoperative hospital stay after pancreaticoduodenectomy: a retrospective study
	2013
发表期刊	CHINESE MEDICAL JOURNAL
ISSN	0366-6999
摘要	Background 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.
其他摘要	Background 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. Methods 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). Results 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). Conclusions 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.
关键词	PROSPECTIVE RANDOMIZED-TRIAL INTERNATIONAL STUDY-GROUP DUCT-TO-MUCOSA PANCREATICOJEJUNOSTOMY RECONSTRUCTION PANCREATIC LEAKAGE SURGICAL OUTCOMES SURGERY METAANALYSIS COMPLICATIONS HEMORRHAGE length of stay pancreaticoduodenectomy postoperative period risk factors
收录类别	CSCD
语种	英语
资助项目	[Science and Technology Committee of Beijing]
CSCD记录号	CSCD:4947338
引用统计
文献类型	期刊论文
条目标识符	http://ir.hfcas.ac.cn:8080/handle/334002/48212
专题	中国科学院合肥物质科学研究院
推荐引用方式 GB/T 7714	. Risk factors associated with postoperative hospital stay after pancreaticoduodenectomy: a retrospective study[J]. CHINESE MEDICAL JOURNAL,2013,126.
APA	(2013).Risk factors associated with postoperative hospital stay after pancreaticoduodenectomy: a retrospective study.CHINESE MEDICAL JOURNAL,126.
MLA	"Risk factors associated with postoperative hospital stay after pancreaticoduodenectomy: a retrospective study".CHINESE MEDICAL JOURNAL 126(2013).