Impact of hospital geographic remoteness on short‐term outcomes after colorectal cancer resection using state‐wide administrative data
| Autor: | Dilshan K Udayasiri, Nigel Da Silva, Anita R. Skandarajah, Ian P Hayes, Caroline MacCallum |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment 030230 surgery Logistic regression law.invention Odds 03 medical and health sciences 0302 clinical medicine law medicine Humans Hospital Mortality Retrospective Studies Mechanical ventilation business.industry Confounding Retrospective cohort study General Medicine Odds ratio Length of Stay Intensive care unit Patient Discharge Confidence interval Intensive Care Units 030220 oncology & carcinogenesis Emergency medicine Surgery Colorectal Neoplasms business |
| Zdroj: | ANZ Journal of Surgery. 90:1328-1334 |
| ISSN: | 1445-2197 1445-1433 |
| DOI: | 10.1111/ans.15992 |
| Popis: | BACKGROUND: This study aimed to use validated coding algorithms, applied to a central repository of administrative data (AD), to report on short-term outcomes following resection for colorectal cancer (CRC) comparing regional to metropolitan Victorian hospitals. METHODS: This is a retrospective cohort study using prospectively gathered AD. The primary outcome was prolonged length of stay (LOS). Secondary outcomes were: inpatient mortality, return to theatre, discharge destination and need for mechanical ventilation/intensive care unit support. Outcomes were adjusted for potential confounders via multivariable logistic regression analysis. RESULTS: This study of 18 470 patients found strong evidence for lower odds of prolonged LOS (odds ratio (OR) 0.53, 95% confidence interval (CI) 0.48-0.58, P ≤ 0.001) and inpatient mortality (OR 0.67, 95% CI 0.49-0.91, P = 0.01) in inner regional hospital compared with metropolitan hospitals. For outer regional hospitals, there was strong evidence of decreased odds of prolonged LOS (OR 0.64, 95% CI 0.52-0.77, P = |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text