Risk factors for unplanned revisits in patients received thoracoscopic assisted pulmonary nodule surgery
<b>Objective</b>To explore the risk factors of unplanned hospital visiting in patients received video-assisted thoracic surgery （VAST） for pulmonary nodule resections based on enhanced recovery after surgery （ERAS）. <b>Methods</b>A retrospective study was performed to analy...
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| Format: | Article |
| Language: | zho |
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The Editorial Department of Chinese Journal of Clinical Research
2023-08-01
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| Series: | Zhongguo linchuang yanjiu |
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| Online Access: | http://zglcyj.ijournals.cn/zglcyj/ch/reader/view_abstract.aspx?file_no=20230808&flag=1 |
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| author | QIU Lihua LU Ziyun XU Lu SHI Minke TANG Weifeng YANG Rusong LI Bingbing |
| author_facet | QIU Lihua LU Ziyun XU Lu SHI Minke TANG Weifeng YANG Rusong LI Bingbing |
| author_sort | QIU Lihua |
| collection | DOAJ |
| description | <b>Objective</b>To explore the risk factors of unplanned hospital visiting in patients received video-assisted thoracic surgery （VAST） for pulmonary nodule resections based on enhanced recovery after surgery （ERAS）. <b>Methods</b>A retrospective study was performed to analyze the clinical date of 767 patients received VAST for pulmonary resections based on ERAS in Day Care Unit of Nanjing Drum Tower Hospital from January 2021 to December 2022. Patients were divided into unplanned revisiting group and conventional visiting group according to whether they had unplanned hospital visiting. The risk factors of unplanned hospital visiting were analyzed and prediction model was developed. The receiver operating characteristic （ROC） was used to analyze the predictive factors. <b>Results</b>There were 51 patients （6.65%） with unplanned hospital visiting after discharge. Compared with the conventional visiting group, the ASA grade was significantly higher, the proportion of smoking and air leak≥2 grade were increased, the thoracic drainage time and the level of C-reactive protein(CRP) at first day after operation were increased in unplanned revisiting group （P＜0.05）. The logistic regression analysis showed air leak≥2 grade （OR=6.184, 95%CI: 2.048-18.674） and the level of CRP at first day after operation （OR=1.013, 95%CI: 1.000-1.025） were the independent risk factor of unscheduled hospital visiting in patients received VAST for pulmonary resections. The area under the ROC(AUC) curve of postoperative CRP was 0.618 （95%CI: 0.583-0.653, P=0.009）, with a cutoff value of 22.80mg/L; The AUC of the prediction model was 0.691 （95%CI: 0.657-0.724, P＜0.01）, with a cutoff value of 0.058. <b>Conclusion</b> Air leak≥2 grade and the level of CRP at first day after operation are independent risk factors of unplanned hospital visiting in patients undergoing VAST for pulmonary resections based on ERAS. |
| first_indexed | 2024-03-12T01:37:51Z |
| format | Article |
| id | doaj.art-16194f1a3cf5437499a1edff46c3f9ee |
| institution | Directory Open Access Journal |
| issn | 1674-8182 |
| language | zho |
| last_indexed | 2024-03-12T01:37:51Z |
| publishDate | 2023-08-01 |
| publisher | The Editorial Department of Chinese Journal of Clinical Research |
| record_format | Article |
| series | Zhongguo linchuang yanjiu |
| spelling | doaj.art-16194f1a3cf5437499a1edff46c3f9ee2023-09-11T03:18:51ZzhoThe Editorial Department of Chinese Journal of Clinical ResearchZhongguo linchuang yanjiu1674-81822023-08-013681152115610.13429/j.cnki.cjcr.2023.08.008Risk factors for unplanned revisits in patients received thoracoscopic assisted pulmonary nodule surgeryQIU Lihua0 LU Ziyun1XU Lu2SHI Minke3TANG Weifeng4YANG Rusong5 LI Bingbing6Nanjing Drum Tower Clinical College of Xuzhou Medical University, Nanjing, Jiangsu 210008, China Department of Anesthesiology, Affiliated Drum Tower Hospital ,Medical School of Nanjing University, Nanjing, Jiangsu 210008, China Department of Anesthesiology, Affiliated Drum Tower Hospital ,Medical School of Nanjing University, Nanjing, Jiangsu 210008, China Department of Cardiothoracic Surgery, Affiliated Drum Tower Hospital ,Medical School of Nanjing University, Nanjing, Jiangsu 210008, ChinaDepartment of Cardiothoracic Surgery, Affiliated Drum Tower Hospital ,Medical School of Nanjing University, Nanjing, Jiangsu 210008, ChinaDepartment of Cardiothoracic Surgery, Affiliated Drum Tower Hospital ,Medical School of Nanjing University, Nanjing, Jiangsu 210008, ChinaNanjing Drum Tower Clinical College of Xuzhou Medical University, Nanjing, Jiangsu 210008, China;Department of Anesthesiology, Affiliated Drum Tower Hospital ,Medical School of Nanjing University, Nanjing, Jiangsu 210008, China <b>Objective</b>To explore the risk factors of unplanned hospital visiting in patients received video-assisted thoracic surgery （VAST） for pulmonary nodule resections based on enhanced recovery after surgery （ERAS）. <b>Methods</b>A retrospective study was performed to analyze the clinical date of 767 patients received VAST for pulmonary resections based on ERAS in Day Care Unit of Nanjing Drum Tower Hospital from January 2021 to December 2022. Patients were divided into unplanned revisiting group and conventional visiting group according to whether they had unplanned hospital visiting. The risk factors of unplanned hospital visiting were analyzed and prediction model was developed. The receiver operating characteristic （ROC） was used to analyze the predictive factors. <b>Results</b>There were 51 patients （6.65%） with unplanned hospital visiting after discharge. Compared with the conventional visiting group, the ASA grade was significantly higher, the proportion of smoking and air leak≥2 grade were increased, the thoracic drainage time and the level of C-reactive protein(CRP) at first day after operation were increased in unplanned revisiting group （P＜0.05）. The logistic regression analysis showed air leak≥2 grade （OR=6.184, 95%CI: 2.048-18.674） and the level of CRP at first day after operation （OR=1.013, 95%CI: 1.000-1.025） were the independent risk factor of unscheduled hospital visiting in patients received VAST for pulmonary resections. The area under the ROC(AUC) curve of postoperative CRP was 0.618 （95%CI: 0.583-0.653, P=0.009）, with a cutoff value of 22.80mg/L; The AUC of the prediction model was 0.691 （95%CI: 0.657-0.724, P＜0.01）, with a cutoff value of 0.058. <b>Conclusion</b> Air leak≥2 grade and the level of CRP at first day after operation are independent risk factors of unplanned hospital visiting in patients undergoing VAST for pulmonary resections based on ERAS.http://zglcyj.ijournals.cn/zglcyj/ch/reader/view_abstract.aspx?file_no=20230808&flag=1enhanced recovery after surgerythoracoscopepulmonary nodule resection;unplanned hospital visiting;air leakc-reactive protein |
| spellingShingle | QIU Lihua LU Ziyun XU Lu SHI Minke TANG Weifeng YANG Rusong LI Bingbing Risk factors for unplanned revisits in patients received thoracoscopic assisted pulmonary nodule surgery Zhongguo linchuang yanjiu enhanced recovery after surgery thoracoscope pulmonary nodule resection; unplanned hospital visiting; air leak c-reactive protein |
| title | Risk factors for unplanned revisits in patients received thoracoscopic assisted pulmonary nodule surgery |
| title_full | Risk factors for unplanned revisits in patients received thoracoscopic assisted pulmonary nodule surgery |
| title_fullStr | Risk factors for unplanned revisits in patients received thoracoscopic assisted pulmonary nodule surgery |
| title_full_unstemmed | Risk factors for unplanned revisits in patients received thoracoscopic assisted pulmonary nodule surgery |
| title_short | Risk factors for unplanned revisits in patients received thoracoscopic assisted pulmonary nodule surgery |
| title_sort | risk factors for unplanned revisits in patients received thoracoscopic assisted pulmonary nodule surgery |
| topic | enhanced recovery after surgery thoracoscope pulmonary nodule resection; unplanned hospital visiting; air leak c-reactive protein |
| url | http://zglcyj.ijournals.cn/zglcyj/ch/reader/view_abstract.aspx?file_no=20230808&flag=1 |
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