Predictors of prolonged hospital stay in patients undergoing lung resection.

IF 2.1 4区医学 Q1 REHABILITATION

Disability and Rehabilitation Pub Date : 2024-11-01 Epub Date: 2024-01-03 DOI:10.1080/09638288.2023.2297936

Filipa Kendall, Gustavo Silva, Marta Drummond, Paulo Viana, Ermelinda Eusébio, Paulo Pinho, José Oliveira, Pedro Teixeira Bastos

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引用次数: 0

Abstract

Purpose: To identify potential predictors of prolonged length of hospital stay in patients submitted to lung resection surgery.

Materials and methods: This is a cohort study, carried out in 105 patients with lung cancer, submitted to posterolateral thoracotomy pulmonary resection. Data collection included preoperative assessment of demographic, clinical, pulmonary function, respiratory muscle function, physical fitness, and behavioral habits. After surgery, length of hospital stay was documented, and the sample was divided into two groups according to the length of hospital stay (LOS): the normal hospital stay group (NLOS) until 8 days, and the prolonged hospital stay group (PLOS) with more than 8 days of hospital stay. Multiple linear regressions were performed between length of hospital stay and the studied variables, for the total sample and, specifically, for the PLOS group.

Results: The multiple linear regression for the total sample, the most explanatory power variables were TLC, MIP, PEF, and BMI. When considering only the PLOS, the variables that mostly explained were the MIP%, MEP and TLC%.

Conclusion: Besides the classic outcomes used to calculate surgical risk, the body mass index, respiratory muscle strength, peak expiratory flow, and total lung capacity are predictors of the variation on length of hospital stay in patients submitted to lung resection.

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肺切除术患者住院时间延长的预测因素。

目的：确定肺切除手术患者住院时间延长的潜在预测因素：这是一项队列研究，针对 105 名接受后外侧开胸肺切除术的肺癌患者。数据收集包括术前对人口统计学、临床、肺功能、呼吸肌功能、体能和行为习惯的评估。手术后，记录住院时间，并根据住院时间（LOS）将样本分为两组：住院时间在8天以内的正常住院组（NLOS）和住院时间超过8天的延长住院组（PLOS）。在住院时间与研究变量之间进行了多重线性回归，对全部样本进行了回归，特别是对 PLOS 组进行了回归：对全部样本进行的多元线性回归结果表明，最具解释力的变量是 TLC、MIP、PEF 和 BMI。结论：除了用于计算手术结果的经典变量外，还需要考虑到其他变量：结论：除了用于计算手术风险的传统结果外，体重指数、呼吸肌强度、呼气峰流速和总肺活量也是肺切除术患者住院时间变化的预测因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Disability and Rehabilitation 医学-康复医学

CiteScore

5.00

自引率

9.10%

发文量

415

审稿时长

3-6 weeks

期刊介绍： Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.