Factors influencing the length of stay (LOS) undergoing robot-assisted thoracoscopic lung surgery in the setting of enhanced recovery after surgery (ERAS) protocol for pediatric patients: a retrospective study.
J Thorac Dis
; 16(2): 1212-1222, 2024 Feb 29.
Article
em En
| MEDLINE
| ID: mdl-38505019
ABSTRACT
Background:
A prolonged length of stay (LOS) after surgery may result in higher hospital costs and hospital-acquired complications. This study aims to identify the risk factors associated with a prolonged hospital stay after robot-assisted thoracoscopic lung surgery for pediatric patients in the context of enhanced recovery after surgery.Methods:
The data for this retrospective study were collected from pediatric patients undergoing robot-assisted thoracoscopic lung surgery. Patients were divided into two subgroups based on median postoperative LOS (Group I LOS > median 5 days and Group II LOS ≤ median 5 days). Logistic regression analysis was used to identify the potential factors associated with increased LOS.Results:
This study included 241 patients, 71 (29.46%) with an LOS of >5 days. The proportion of older children was significantly higher in Group I than that in Group II (P=0.004). Patients in Group I were more likely to experience a longer duration of anesthesia and surgery (P<0.001). They also had significantly higher rates of pneumonia, pleural effusion, and liver function damage (P<0.05). Several factors were identified to be associated with an increased LOS after robot-assisted thoracoscopic lung surgery age >6 years [odds ratio (OR) =3.214, 95% confidence interval (CI) 1.464-7.502, P=0.004], surgery duration >100 min (OR =2.138, 95% CI 1.296-4.387, P=0.005), intra-albumin (OR =13.778, 95% CI 1.470-129.116, P=0.022), and blood loss >5 mL (OR =2.184, 95% CI 1.082-4.409, P=0.029).Conclusions:
The results revealed that older age, longer surgery duration, use of intra-albumin, and more blood loss predict longer postoperative hospital stay in pediatric patients with congenital lung lesions after robot-assisted thoracoscopic lung surgery.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
J Thorac Dis
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
China