دورية أكاديمية

Analysis of risk factors for delayed postoperative discharge of patients with pulmonary nodules

التفاصيل البيبلوغرافية
العنوان: Analysis of risk factors for delayed postoperative discharge of patients with pulmonary nodules
المؤلفون: LUO Wei*, QU Haoran, YIN Anqi, ZHANG Lidong
المصدر: Zhongguo linchuang yanjiu, Vol 37, Iss 1, Pp 57-60 (2024)
بيانات النشر: The Editorial Department of Chinese Journal of Clinical Research, 2024.
سنة النشر: 2024
المجموعة: LCC:Medicine
مصطلحات موضوعية: thoracic surgery, pulmonary nodules, thoracoscope, da vinci robotics, delayed discharge, risk factors, opioids, Medicine
الوصف: Objective: To investigate the influencing factors of delayed postoperative discharge in patients with pulmonary nodules. Methods: Electronic medical records of 223 patients, 91 males and 132 females, who underwent thoracoscopic/Da Vinci robotic surgery for pulmonary nodules under general anesthesia in Eastern Theater General Hospital, from June to August 2021 were analyzed retrospectively. Univariate analysis and binary logistic regression analysis were used to screen the risk factors for delayed postoperative discharge in patients with pulmonary nodules. Results: One hundred and fifty-nine patients (71.3%) with a postoperative hospital stay of ≥3 days were considered the delayed discharge group, and the 64 patients (28.7%) with <3 days were considered the normal discharge group. The age, proportion of males, proportion of smoking history, proportion of thoracoscopic surgery, operation duration, intraoperative fluid supplement and fluid loss volume, propofol consumption, incidence of postoperative complications, duration of thoracic drainage tube retention, and drainage volume of patients in the delayed discharge group were significantly higher than those in the normal discharge group (P<0.05). Binary logistic regression analysis showed that older age [OR=1.063, 95%CI (1.016-1.111), P=0.008], longer duration of thoracic drainage tube retention [OR=8.743, 95%CI (4.144-18.445), P<0.01] and use of conventional intravenous analgesic pump [OR=3.759, 95%CI (1.232-11.468), P=0.020] were independent risk factors for the postoperative hospital stay≥3 days. Conclusion: Older age, longer duration of thoracic drainage tube retention and use of conventional intravenous analgesic pump can affect the length of postoperative hospitalization in patients undergoing lung nodule surgery.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: Chinese
تدمد: 1674-8182
09294112
Relation: http://zglcyj.ijournals.cn/zglcyj/ch/reader/create_pdf.aspx?file_no=20240112; https://doaj.org/toc/1674-8182
DOI: 10.13429/j.cnki.cjcr.2024.01.012
URL الوصول: https://doaj.org/article/82c411bf09294112ae4d65da7f1a03da
رقم الأكسشن: edsdoj.82c411bf09294112ae4d65da7f1a03da
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:16748182
09294112
DOI:10.13429/j.cnki.cjcr.2024.01.012