METHODS: Primary GAS, specifically PLPs and VGPs performed from 2006-2020 were identified in NSQIP. Baseline frailty was based on NSQIP\'s modified frailty index (mFI) and preoperative morbidity probability (morbprob) variable.
RESULTS: Fifty-eight PLPs and 468 VGPs were identified. The overall 30-day complication rate for PLP was 26%, with 17% of total patients experiencing minor complications and 16% experiencing major complications. The overall, minor, and major complication rates for VGP were 14%, 7%, and 9% respectively. Readmissions and reoperations occurred in 7% PLP and 5% VGP patients. No deaths occurred in either group within 30 days. The mFI scores were not predictive of 30-day complications or LOS. NSQIP morbprob was predictive of 30-day complications for both PLP (OR 4.0, 95% CI 1.08-19.59, p = 0.038) and VGP (OR 2.39, 95% CI 1.46-3.97, p = 0.0005). NSQIP\'s morbprob was also predictive of extended LOS for PLP patients (6.3 ± 1.3 days, p = 0.03).
CONCLUSIONS: This study describes patient characteristics and complication rates of PLPs and VGPs. The NSQIP preoperative morbprob is an effective predictor of surgical complications and is better than the mFI.
方法:主要气体,特别是在NSQIP中确定了2006-2020年进行的PLP和VGP。基线虚弱基于NSQIP的修正虚弱指数(mFI)和术前发病概率(morbprob)变量。
结果:确定了58个PLP和468个VGP。PLP的30天并发症发生率为26%,总患者中有17%出现轻微并发症,16%出现严重并发症。总体来说,未成年人,VGP的主要并发症发生率为14%,7%,分别为9%。7%的PLP和5%的VGP患者再次入院和再次手术。两组在30天内均未发生死亡。mFI评分不能预测30天并发症或LOS。NSQIPmorbprob可预测PLP(OR4.0,95%CI1.08-19.59,p=0.038)和VGP(OR2.39,95%CI1.46-3.97,p=0.0005)的30天并发症。NSQIP的morbprob也可预测PLP患者的LOS延长(6.3±1.3天,p=0.03)。
结论:本研究描述了PLPs和VGPs的患者特征和并发症发生率。NSQIP术前morbprob是手术并发症的有效预测因子,优于mFI。