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Factors Associated with Unexpected Readmission Following Lung Resection
Shinsuke Uchida1, Yukihiro Yoshida1, Masaya Yotsukura1
1Department of Thoracic Surgery, National Cancer Center Hospital, 1-1 Tsukiji 5-chome, Chuo-ku, Tokyo, 104-0045, Japan.
World Journal of Surgery
|January 21, 2021
Summary
Unexpected readmission after lung cancer surgery is common. Refractory air leakage, defined as prolonged air leakage or reoperation, significantly increases the risk of readmission and potential death.
Area of Science:
- Thoracic Surgery
- Oncology
- Pulmonary Medicine
Background:
- Post-lung resection readmission impacts patient outcomes.
- Identifying readmission predictors is crucial for perioperative management.
Purpose of the Study:
- Investigate predictors of unexpected readmission after lung resection for primary lung cancers.
- Analyze perioperative factors associated with readmission.
Main Methods:
- Retrospective study of 1000 patients undergoing pulmonary resection for lung cancer.
- Defined unexpected readmission as unscheduled hospital readmission within 30 days.
- Utilized univariate and multivariate analyses to identify associated perioperative factors.
Main Results:
- 4.3% of patients experienced unexpected readmission within 30 days.
- Common readmission reasons included empyema, pleural effusion, and idiopathic pulmonary fibrosis exacerbation.
- Postoperative refractory air leakage (prolonged air leakage >5 days or requiring reoperation) was a significant predictor of readmission (OR 2.87, P=0.015).
Conclusions:
- Unexpected readmission is a significant event post-lung resection.
- Readmission increases the risk of mortality.
- Refractory air leakage is a strong predictor of unexpected readmission after lung cancer surgery.
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