背景:在各种外科手术中,延长住院时间(LOS)与发病率和资源利用率的增加有关。我们旨在确定与气管成形术患者住院时间增加相关的因素。
方法:查询了2012-2018年国家外科质量改进计划(NSQIP)数据库中接受气管成形术的患者。患者LOS是主要临床结果。LOS>75百分位数被认为是延长的,并用于人口统计学的双变量分析,合并症,和操作特征。LOS用作多元线性回归分析的连续变量。
结果:共查询了252例患者。大多数患者为女性(67.5%),白色(82.4%),65岁以上(77.0%)。患者的中位LOS为7天,第75百分位数的截止值定义为10天。在相关合并症的双变量分析中,LOS延长的患者更常见的是肥胖(72.4%vs.53.1%,p=0.009),糖尿病(37.9%vs.16.5%,p<0.001),呼吸困难(58.6%vs.40.7%,p=0.016),并长期使用类固醇(25.9%vs.12.9%,p=0.018)。多变量logistic回归分析表明,长期LOS与慢性阻塞性肺疾病(COPD)(OR:3.43,p=0.020)和慢性类固醇使用(OR:3.81,p=0.018)之间存在显着关联。
结论:本研究阐明了气管成形术患者LOS延长的相关因素。COPD和长期使用类固醇的患者与LOS延长显著相关。
方法:4喉镜,2022年。
Prolonged length of stay (LOS) has been associated with increased morbidity and resource utilization in various surgical procedures. We aim to determine factors associated with increased hospital stay in patient undergoing
tracheoplasty.
The 2012-2018 National Surgical Quality Improvement Program (NSQIP) database was queried for patients undergoing
tracheoplasty. Patient LOS was the primary clinical outcome. A LOS >75th percentile was considered as prolonged and was utilized for bivariate analysis of demographic, comorbidity, and operative characteristics. LOS was utilized as a continuous variable for multivariate linear regression analysis.
A total of 252 patients were queried. The majority of patients were female (67.5%), white (82.4%), and over the age of 65 (77.0%). Patients had a median LOS of 7 days with the 75th percentile cutoff being defined at 10 days. On bivariate analysis of associated comorbidities, patients with prolonged LOS were more commonly obese (72.4% vs. 53.1%, p = 0.009), diabetic (37.9% vs. 16.5%, p < 0.001), dyspneic (58.6% vs. 40.7%, p = 0.016), and had chronic steroid use (25.9% vs. 12.9%, p = 0.018). Multivariable logistic regression analysis demonstrated significant associations between prolonged LOS and both chronic obstructive pulmonary disorder (COPD) (OR: 3.43, p = 0.020) and chronic steroid use (OR: 3.81, p = 0.018).
This study elucidates factors associated with prolonged LOS in patients undergoing
tracheoplasty. Patients with COPD and chronic steroid use were significantly associated with prolonged LOS.
4 Laryngoscope, 133:1938-1942, 2023.