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Published on: September 30, 2020
Nursing home status is an independent risk factor for adverse 30-day postoperative outcomes after common, nonemergent
Mario D Caldararo1, David E Stein2, Juan L Poggio2
1Drexel University College of Medicine, 2900 W. Queen Lane, Philadelphia, PA 19129, USA.
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.
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