作者
Vincent Q Trinh, Quoc‐Dien Trinh, Zhe Tian, Jim C Hu, Shahrokh F Shariat, Paul Perrotte, Pierre I Karakiewicz, Maxine Sun
发表日期
2013/7
期刊
BJU international
卷号
112
期号
2
页码范围
E20-E27
简介
Objective
- To show the underlying variability in peri‐operative mortality after radical cystectomy (RC) by analysing failure‐to‐rescue (FTR) rates, i.e. deaths after complications.
Materials and Methods
- Patients undergoing RC for non‐metastatic bladder cancer (BCa) were identified from the Nationwide Inpatient Sample, 1999–2009, resulting in a weighted estimate of 79 972 patients.
- The FTR rates were assessed according to patient and hospital characteristics, as well as complication type.
- Generalized linear regression analyses were performed.
Results
- Overall, 26 740 patients had a complication, corresponding to a FTR rate of 5.5%. Septicaemia (odds ratio [OR]: 13.41, P < 0.001) and cardiac (OR: 3.97, P < 0.001), wound‐related (OR: 2.12, P < 0.001), genitourinary (OR: 1.62, P = 0.045) and haematological (OR: 1.78, P = 0.008) complications were associated with FTR.
- Older age (OR: 1.05, P < 0.001 …
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VQ Trinh, QD Trinh, Z Tian, JC Hu, SF Shariat… - BJU international, 2013