PMID- 35128041
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220208
IS  - 2374-3735 (Print)
IS  - 2374-3743 (Electronic)
IS  - 2374-3735 (Linking)
VI  - 9
DP  - 2022
TI  - The Effect of Major and Minor Complications After Lung Surgery on Length of Stay 
      and Readmission.
PG  - 23743735221077524
LID - 10.1177/23743735221077524 [doi]
LID - 23743735221077524
AB  - The effect of post-operative adverse events (AEs) on patient outcomes such as 
      length of stay (LOS) and readmissions to hospital is not completely understood. 
      This study examined the severity of AEs from a high-volume thoracic surgery 
      center and its effect on the patient postoperative LOS and readmissions to 
      hospital. This study includes patients who underwent an elective lung resection 
      between September 2018 and January 2020. The AEs were grouped as no AEs, 1 or 
      more minor AEs, and 1 or more major AEs. The effects of the AEs on patient LOS 
      and readmissions were examined using a survival analysis and logistic regression, 
      respectively, while adjusting for the other demographic or clinical variables. 
      Among 488 patients who underwent lung surgery, (Wedge resection [n = 100], 
      Segmentectomy [n = 51], Lobectomy [n = 310], Bilobectomy [n = 10], or 
      Pneumonectomy [n = 17]) for either primary (n = 440) or secondary (n = 48) lung 
      cancers, 179 (36.7%) patients had no AEs, 264 (54.1%) patients had 1 or more 
      minor AEs, and 45 (9.2%) patients had 1 or more major AEs. Overall, the median of 
      LOS was 3 days which varied significantly between AE groups; 2, 4, and 8 days 
      among the no, minor, and major AE groups, respectively. In addition, type of 
      surgery, renal disease (urinary tract infection [UTI], urinary retention, or 
      acute kidney injury), and ASA (American Society of Anesthesiology) score were 
      significant predictors of LOS. Finally, 58 (11.9%) patients were readmitted. 
      Readmission was significantly associated with AE group (P = 0.016). No other 
      variable could significantly predict patient readmission. Overall, postoperative 
      AEs significantly affect the postoperative LOS and readmission rates.
CI  - (c) The Author(s) 2022.
FAU - Finley, Christian J
AU  - Finley CJ
AD  - Division of Thoracic Surgery, McMaster University, Hamilton, Ontario, Canada. 
      RINGGOLD: 3710
FAU - Begum, Housne A
AU  - Begum HA
AUID- ORCID: 0000-0003-1561-9423
AD  - Division of Thoracic Surgery, McMaster University, Hamilton, Ontario, Canada. 
      RINGGOLD: 3710
FAU - Pearce, Kendra
AU  - Pearce K
AD  - Division of Thoracic Surgery, McMaster University, Hamilton, Ontario, Canada. 
      RINGGOLD: 3710
FAU - Agzarian, John
AU  - Agzarian J
AD  - Division of Thoracic Surgery, McMaster University, Hamilton, Ontario, Canada. 
      RINGGOLD: 3710
FAU - Hanna, Wael C
AU  - Hanna WC
AD  - Division of Thoracic Surgery, McMaster University, Hamilton, Ontario, Canada. 
      RINGGOLD: 3710
FAU - Shargall, Yaron
AU  - Shargall Y
AD  - Division of Thoracic Surgery, McMaster University, Hamilton, Ontario, Canada. 
      RINGGOLD: 3710
FAU - Akhtar-Danesh, Noori
AU  - Akhtar-Danesh N
AD  - School of Nursing, McMaster University, Hamilton, Ontario, Canada. RINGGOLD: 3710
LA  - eng
PT  - Journal Article
DEP - 20220201
PL  - United States
TA  - J Patient Exp
JT  - Journal of patient experience
JID - 101688338
PMC - PMC8811790
OTO - NOTNLM
OT  - length of stay
OT  - lung cancer
OT  - major complications
OT  - minor complications
OT  - readmission
OT  - surgery
COIS- Declaration of Conflicting Interests: The authors declared no potential conflicts 
      of interest with respect to the research, authorship, and/or publication of this 
      article.
EDAT- 2022/02/08 06:00
MHDA- 2022/02/08 06:01
PMCR- 2022/02/01
CRDT- 2022/02/07 05:36
PHST- 2022/02/07 05:36 [entrez]
PHST- 2022/02/08 06:00 [pubmed]
PHST- 2022/02/08 06:01 [medline]
PHST- 2022/02/01 00:00 [pmc-release]
AID - 10.1177_23743735221077524 [pii]
AID - 10.1177/23743735221077524 [doi]
PST - epublish
SO  - J Patient Exp. 2022 Feb 1;9:23743735221077524. doi: 10.1177/23743735221077524. 
      eCollection 2022.