Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Sood, A; Majumder, K; Kachroo, N; Sammon, JD; Abdollah, F; Schmid, M; Hsu, L; Jeong, W; Meyer, CP; Hanske, J; Kalu, R; Menon, M; Trinh, QD.
Adverse Event Rates, Timing of Complications, and the Impact of Specialty on Outcomes Following Adrenal Surgery: An Analysis of 30-Day Outcome Data From the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP).
Urology. 2016; 90:62-8
Doi: 10.1016/j.urology.2015.12.031
Web of Science
PubMed
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- Co-authors Med Uni Graz
- Leitsmann Marianne
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- Abstract:
- OBJECTIVE: To report on 30-day adverse event rates and timing of complications following adrenal surgery; further, to investigate the impact of specialty (general surgery vs urology) on these outcomes using a large prospective multi-institutional data registry. MATERIALS AND METHODS: Within the American College of Surgeons National Surgical Quality Improvement Program (2005-2012), patients undergoing adrenalectomy were identified (CPT-codes: 60540, 60545, 60650). Outcomes evaluated included complications, blood transfusion, length of stay, reintervention, readmission, and mortality. Complications were further evaluated in relation to discharge status (pre-/postdischarge). Multivariable regression models assessed association between specialty and 30-day morbidity/mortality. RESULTS: During the study period, 4844 patients underwent adrenalectomy (95.7% general surgery). The overall complication rate was 7.5% (n = 363); 43.2% of the complications occurred postdischarge with a substantial proportion of major complications, including cardiac, pulmonary, renal, neurologic, septic, and deep venous thrombosis/pulmonary embolism also occurring postdischarge (29.9%). The overall blood transfusion, reintervention, readmission, and mortality rates were 3.9%, 2.0%, 6.4%, and 0.6%, respectively. In adjusted analyses, specialty did not have an effect on any of the outcomes (P > .05 all). CONCLUSION: One in 13 patients suffers a complication postadrenalectomy. Approximately 40% of these complications occur postdischarge, primarily within the first 2 weeks of surgery. Accurate knowledge regarding 30-day adverse event rates and timing of complications that this study provides may facilitate improved patient-physician communication and encourage early patient follow-up in this critical window. Lastly, specialty does not seem to affect outcomes in American College of Surgeons National Surgical Quality Improvement Program participant hospitals.
- Find related publications in this database (using NLM MeSH Indexing)
- Adrenalectomy - adverse effects
- Adult - administration & dosage
- Aged - administration & dosage
- Female - administration & dosage
- Humans - administration & dosage
- Male - administration & dosage
- Medicine - administration & dosage
- Middle Aged - administration & dosage
- Postoperative Complications - epidemiology, etiology
- Prospective Studies - administration & dosage
- Quality Improvement - administration & dosage
- Registries - administration & dosage
- Time Factors - administration & dosage
- Treatment Outcome - administration & dosage
- United States - administration & dosage