Journal article
Nursing home status is an independent risk factor for adverse 30-day postoperative outcomes after common, nonemergent inpatient procedures
The American journal of surgery, v 212(2)
01 Aug 2016
PMID: 27287834
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
BACKGROUND: Nursing home residents undergoing surgery have a higher rate of postoperative adverse outcomes than nonnursing home patients. This study seeks to determine what contribution nursing home status makes to theses occurrences, independent of comorbid conditions.
METHODS: Using the American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) database, the 30-day postoperative outcomes of the 5 commonest nonemergent inpatient procedures performed on nursing home residents were compared with those in nonnursing home residents using logistic regression analysis.
RESULTS: Nursing home status was found to be an independent risk factor for septic complications in all procedures, for blood transfusion requirement after lower leg amputation, for pneumonia and stroke/cerebrovascular accident after thromboendarterectomy, and for mortality after partial colectomy with primary anastomosis.
CONCLUSIONS: These data suggest that, in addition to serving as a surrogate indicator of health status and current morbidity, residence in a nursing home makes an independent contribution to adverse postoperative outcomes. (C) 2016 Elsevier Inc. All rights reserved.
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Details
- Title
- Nursing home status is an independent risk factor for adverse 30-day postoperative outcomes after common, nonemergent inpatient procedures
- Creators
- Mario D. Caldararo - Drexel UniversityDavid E. Stein - Hahnemann University HospitalJuan L. Poggio - Hahnemann University Hospital
- Publication Details
- The American journal of surgery, v 212(2)
- Publisher
- Elsevier
- Number of pages
- 7
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000382234300002
- Scopus ID
- 2-s2.0-84973571984
- Other Identifier
- 991019168452904721
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- Web of Science research areas
- Surgery