scholarly journals Risk factors for delayed perineal wound healing and its impact on prolonged hospital stay after abdominoperineal resection

2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Chu-Cheng Chang ◽  
Yuan-Tzu Lan ◽  
Jeng-Kai Jiang ◽  
Shih-Ching Chang ◽  
Shung-Haur Yang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Wound Healing ◽  
Hospital Stay ◽  
Independent Risk Factor ◽  
Perineal Wound ◽  
Prolonged Hospital Stay ◽  
Delayed Wound Healing ◽  
Perineal Wound Healing ◽  
Increased Risk ◽  
Prolonged Hospital

Abstract Background Perineal wound complications are a long-lasting issue for abdominoperineal resection (APR) patients. Complication rates as high as 60% have been reported, with the most common complication being delayed perineal wound healing. The aim of this study was to identify risk factors for delayed perineal wound healing and its impact on prolonged hospital stay. Methods We included low rectal tumor patients who underwent APR at a referral medical center from April 2002 to December 2017; a total of 229 patients were included. The basic characteristics and surgical outcomes of the patients were analyzed to identify risk factors for delayed perineal wound healing (> 30 days after APR) and prolonged hospital stay (post-APR hospital stay > 14 days). Results All patients received primary closure for their perineal wound. The majority of patients were diagnosed with adenocarcinoma (N = 213, 93.1%). In the univariate analysis, patients with hypoalbuminemia (albumin < 3.5 g/dL) had an increased risk of delayed wound healing (39.5% vs. 60.5%, P = 0.001), which was an independent risk factor in the multivariable analysis (OR 2.962, 95% CI 1.437–6.102, P = 0.003). Patients with delayed wound healing also had a significantly increased risk of prolonged hospital stay (OR 6.404, 95% CI 3.508–11.694, P < 0.001). Conclusions Hypoalbuminemia was an independent risk factor for delayed wound healing, which consequently led to a prolonged hospital stay. Further clinical trials are needed to reduce the incidence of delayed perineal wound healing by correcting albumin levels or nutritional status before APR.

scholarly journals Factors Associated with Prolonged Hospital Stay: a Retrospective Study for Imported Malaria Cases

2021 ◽  
Author(s):  
Liang Huang ◽  
Hong Jin ◽  
Hong Zhang ◽  
Yang Liu ◽  
Xinxing Shi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Bacterial Infection ◽  
Hospital Stay ◽  
Predictive Factors ◽  
Imported Malaria ◽  
Health Concern ◽  
P Value ◽  
Prolonged Hospital Stay ◽  
Imported Cases ◽  
Prolonged Hospital

Abstract Background China had entered post-elimination era for malaria, however, the imported cases are continuously are a public health concern as the increasing number of cases. In this study we studied the potential predictive factors for prolonged hospital stay for imported malaria patients. Material and Methods We retrospectively collected patients of imported malaria cases data from 2017–2020 in our hospital. we analyzed the data from clinical, epidemiological, geographical, and seasonal points of view, and used cox proportional hazard model to find the predictive factors for prolonged hospital stay. Results We found most of imported cases were from Democratic Republic of the Congo(23%, 34/150) and most cases 74%(26/34) were infected by P. falciparum. Through Edwards Test, no significant seasonality of imported cases were found(χ2 = 2.51 p-value = 0.28). We found bacterial infection(HR = 0.58, p-value = 0.01) and thrombocytopenia(HR = 0.66, p-value = 0.02) were protective factors for discharge, that were, the risk factors for prolonged hospital stay. Conclusions The imported cases are the major risk of malaria in post-elimination era of China. The bacterial infection and thrombocytopenia were the risk factors for prolonged hospital stay.

Clinicopathologic and therapeutic risk factors for perioperative complications and prolonged hospital stay in free flap reconstruction of the head and neck

Head & Neck ◽  
2010 ◽  
Vol 32 (10) ◽  
pp. 1345-1353 ◽  
Author(s):  
Rajan S. Patel ◽  
Stuart A. McCluskey ◽  
David P. Goldstein ◽  
Leonid Minkovich ◽  
Jonathan C. Irish ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hospital Stay ◽  
Head And Neck ◽  
Free Flap ◽  
Perioperative Complications ◽  
Flap Reconstruction ◽  
Prolonged Hospital Stay ◽  
Free Flap Reconstruction ◽  
Prolonged Hospital

Background and perioperative risk factors for prolonged hospital stay after resection of colorectal cancer

2004 ◽  
Vol 74 (1-2) ◽  
pp. 4-9 ◽  
Author(s):  
Matthew J. F. X. Rickard ◽  
Owen F. Dent ◽  
Gael Sinclair ◽  
Pierre H. Chapuis ◽  
E. Leslie Bokey
Keyword(s):  
Colorectal Cancer ◽  
Risk Factors ◽  
Hospital Stay ◽  
Perioperative Risk ◽  
Prolonged Hospital Stay ◽  
Perioperative Risk Factors ◽  
Prolonged Hospital

Hospitalizations among Danish SLE patients: a prospective study on incidence, causes of admission and risk factors in a population-based cohort

Lupus ◽  
2017 ◽  
Vol 27 (1) ◽  
pp. 165-171 ◽  
Author(s):  
R W Busch ◽  
S D Kay ◽  
A Voss
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Hospital Stay ◽  
Lupus Erythematosus ◽  
Activity Index ◽  
Disease Activity Index ◽  
Population Based ◽  
Prolonged Hospital Stay ◽  
Common Mean ◽  
Prolonged Hospital

Objective To determine the incidence, duration and cause of hospitalization in a cohort of Danish patients with systemic lupus erythematosus (SLE). In addition, we investigated risk factors for admission and prolonged hospital stay. Methods A total of 155 SLE patients from a population-based cohort were included in the study during a period of 70 months, from January 2007 to October 2012. Data on frequency, cause and duration of hospitalizations were obtained by review of medical charts. Data on disease manifestations, organ damage and treatment were collected prospectively. Results A total of 101 of the 155 SLE patients (65%) had one or more hospitalization during the study period. The incidence rate of all hospitalizations was 0.50 per year. Leading causes of admission were complications to SLE or its treatment, but infections were also common. Mean duration of hospital stay was 6.4 ± 10.5 days, and SLE Disease Activity Index 2000 (SLEDAI-2K) on admission emerged as a risk factor for prolonged hospital stay. Conclusion Danish SLE patients experience frequent admissions to hospital. Complications to SLE or its treatment, as well as infections, are leading causes of admission. High SLEDAI-2K on admission is a risk factor for prolonged hospital stay.

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