| Journal: | International braz j urol |
| Database: | PERIÓDICA |
| System number: | 000434911 |
| ISSN: | 1677-5538 |
| Authors: | Coelho, Rafael F1 Cordeiro, Mauricio D1 Padovani, Guilherme P1 Localli, Rafael1 Fonseca, Limirio1 Pontes-Junior, José1 Guglielmetti, Giuliano B1 Srougi, Miguel1 Nahas, William Carlos1 |
| Institutions: | 1Universidade de Sao Paulo, Instituto do Cancer de Estado de Sao Paulo, Sao Paulo. Brasil |
| Year: | 2018 |
| Season: | Nov-Dic |
| Volumen: | 44 |
| Number: | 6 |
| Country: | Brasil |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Analítico, descriptivo |
| English abstract | Objective: To evaluate the length hospital stay and predictors of prolonged hospitalization after RRP performed in a high-surgical volume teaching institution, and analyze the rate of unplanned visits to the office, emergency care, hospital readmissions and perioperative complications rates. Materials and Methods: Retrospective analysis of prospectively collected data in a standardized database for patients with localized prostate cancer undergoing RRP in our institution between January/2010 - January/2012. A logistic regression model including preoperative variables was initially built in order to determine the factors that predict prolonged hospital stay before the surgical procedure; subsequently, a second model including both pre and intraoperative variables was analyzed. Results: 1011 patients underwent RRP at our institution were evaluated. The median hospital stay was 2 days, and 217 (21.5%) patients had prolonged hospitalization. Predictors of prolonged hospital stay among the preoperative variables were ICC (OR. 1.40 p=0.003), age (OR 1.050 p<0.001), ASA score of 3 (OR. 3.260 p<0.001), prostate volume on USG-TR (OR, 1.005 p=0.038) and African-American race (OR 2.235 p=0.004); among intra and postoperative factors, operative time (OR 1.007 p=0.022) and the presence of any complications (OR 2.013 p=0.009) or major complications (OR 2.357 p=0.01) were also correlated independently with prolonged hospital stay. The complication rate was 14.5%. Conclusions: The independent predictors of prolonged hospitalization among preoperative variables were CCI, age, ASA score of 3, prostate volume on USG-TR and African-American race; amongst intra and postoperative factors, operative time, presence of any complications and major complications were correlated independently with prolonged hospital stay |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Urología, Prostatectomía radical, Estancia, Factores predictivos |
| Keyword: | Surgery, Urology, Radical prostatectomy, Stay, Predictive factors |
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