Association of metabolic equivalent of task (MET) score in length of stay in hospital following radical cystectomy with urinary diversion: a multi-institutional study
| Autor: | Khalid Sofi, Chun Shea, Ghulam Nabi, Abdul Rouf Khawaja |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Nephrology
Male medicine.medical_specialty Hospital stay length Urology medicine.medical_treatment Metabolic equivalent of task Urinary Diversion Cystectomy Postoperative outcome Metabolic equivalent Internal medicine Metabolic Equivalent medicine Humans Aged Retrospective Studies Urology - Original Paper Proportional hazards model business.industry Urinary diversion MET score Postoperative complication Length of Stay Middle Aged Radical cystectomy Ileal conduit Urinary Bladder Neoplasms Cohort Community health Female business |
| Zdroj: | International Urology and Nephrology |
| ISSN: | 1573-2584 |
| Popis: | Purpose The Metabolic equivalent of task (MET) score is used in patients’ preoperative functional capacity assessment. It is commonly thought that patients with a higher MET score will have better postoperative outcomes than patients with a lower MET score. However, such a link remains the subject of debate and is yet unvalidated in major urological surgery. This study aimed to explore the association of patients’ MET score with their postoperative outcomes following radical cystectomy. Methods We used records-linkage methodology with unique identifiers (Community Health Index/hospital number) and electronic databases to assess postoperative outcomes of patients who had underwent radical cystectomies between 2015 and 2020. The outcome measure was patients’ length of hospital stay. This was compared with multiple basic characteristics such as age, sex, MET score and comorbid conditions. A MET score of less than four ( Results A total of 126 patients were included in the analysis. Mean age on date of operation was 66.2 (SD 12.2) years and 49 (38.9%) were female. A lower MET score was associated with a statistically significant lower time-dependent risk of hospital discharge (i.e. longer hospital stay) when adjusted for covariates (HR 0.224; 95% CI 0.077–0.652; p = 0.006). Older age (adjusted HR 0.531; 95% CI 0.332–0.848; p = 0.008) and postoperative complications (adjusted HR 0.503; 95% CI 0.323–0.848; p = 0.002) were also found to be associated with longer hospital stay. Other comorbid conditions, BMI, disease staging and 30-day all-cause mortality were statistically insignificant. Conclusion A lower MET score in this cohort of patients was associated with a longer hospital stay length following radical cystectomy with urinary diversion. |
| Databáze: | OpenAIRE |
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