Causes, Risk Factors and Outcomes of Patients Readmitted to the Intensive Care Unit After Esophageal Cancer Surgery: A Retrospective Cohort Study
| Autor: | Hui Cao, Yan Luo, Yuanyuan Xu, Jingxiang Wu, Deyuan Li, Hui Zhang, Meiying Xu, Chaoyang Tong |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
China Esophageal Neoplasms Patient Readmission law.invention 03 medical and health sciences 0302 clinical medicine law Risk Factors Medicine Humans Retrospective Studies business.industry Retrospective cohort study Odds ratio Length of Stay Intensive care unit Surgery Cardiac surgery Intensive Care Units Respiratory failure Cardiothoracic surgery 030220 oncology & carcinogenesis Propensity score matching 030211 gastroenterology & hepatology business Abdominal surgery |
| Zdroj: | World journal of surgery. 45(7) |
| ISSN: | 1432-2323 |
| Popis: | Readmission to intensive care unit (ICU) after esophageal cancer surgery is a major concern and can be associated with increased adverse outcomes. This study aims to explore causes, risk factors and early outcomes. We performed a monocentric retrospective analysis in 1140 patients who received esophageal cancer surgery in a higher volume surgeon group between January 2016 and December 2019, at Shanghai Chest Hospital. Univariate and multivariate analysis were performed to identify risk factors, and 1:4 propensity score matching (PSM) analysis was conducted to compare early outcomes. The incidence of ICU readmission was about 3.8% (43 of 1140). The most common cause was respiratory failure, found in 30 patients (70%). ICU readmission mainly occurred within 3 days after surgery, accounting for 46.5% (20 of 43), with the median length of stay was 3 days. Multivariate analysis identified heavy smoking (odds ratio[OR] = 2.445, 95% CI = 1.128 to 5.301, P = 0.024), intraoperative hypoxemia (OR = 2.461, 95% CI = 1.078 to 5.621, P = 0.033), mechanical ventilation during initial ICU stay (OR = 16.036, 95% CI = 7.332 to 35.074, P |
| Databáze: | OpenAIRE |
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