Outcomes after cystectomy in Australian rural and metropolitan hospitals by intensive care admissions

IF 3.7 2区医学 Q1 UROLOGY & NEPHROLOGY

BJU International Pub Date : 2025-01-17 DOI:10.1111/bju.16642

Jessica A. Paynter, Zakary Doherty, Kirby R. Qin, David Pilcher, Janelle Brennan

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Abstract

ObjectivesTo examine demographics and in‐hospital outcomes for patients admitted to Australian intensive care units (ICUs) following cystectomy of the urinary bladder. Additionally, to compare outcomes between metropolitan and rural hospitals.Patients and MethodsA retrospective cohort analysis was undertaken of all adult patients admitted to participating Australian ICUs (Australian and New Zealand Intensive Care Society Adult Patient Database) following cystectomy/cystoprostatectomy between January 2011 and December 2021. The primary outcome was in‐hospital mortality. Secondary outcomes were ICU and hospital length of stay.ResultsOver the 10‐year period, 3376 adult patients were admitted to 135 Australian ICUs after cystectomy. Of these, 3083 patients (91.3%) were treated in 106 metropolitan ICUs and 293 patients (8.7%) were treated in 29 rural ICUs. There was no difference in adjusted mortality between metropolitan and rural hospitals admitted to an ICU after cystectomy (odds ratio 1.32, 95% confidence interval 0.44–3.48; P = 0.6).ConclusionThere was no difference in in‐hospital mortality for cystectomy patients requiring ICU admission between metropolitan and rural hospitals. These findings may be used to inform decisions about the rural provision of cystectomy services.

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膀胱切除术后的结果在澳大利亚农村和城市医院重症监护入院

目的研究膀胱切除术后入住澳大利亚重症监护病房（ICU）的患者的人口统计学特征和院内治疗效果。患者和方法对2011年1月至2021年12月期间参与研究的澳大利亚重症监护病房（澳大利亚和新西兰重症监护协会成人患者数据库）收治的所有膀胱切除术/前列腺囊肿切除术后的成人患者进行回顾性队列分析。主要结果是院内死亡率。结果10年间，3376名成年患者在膀胱切除术后入住澳大利亚135家重症监护病房。其中，3083名患者（91.3%）在106家大都市重症监护病房接受治疗，293名患者（8.7%）在29家农村重症监护病房接受治疗。城市医院和农村医院在膀胱切除术后入住重症监护病房的调整后死亡率没有差异（几率比1.32，95%置信区间0.44-3.48；P = 0.6）。这些发现可为农村地区提供膀胱切除术服务的决策提供参考。

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来源期刊

BJU International 医学-泌尿学与肾脏学

CiteScore

9.10

自引率

4.40%

发文量

262

审稿时长

1 months

期刊介绍： BJUI is one of the most highly respected medical journals in the world, with a truly international range of published papers and appeal. Every issue gives invaluable practical information in the form of original articles, reviews, comments, surgical education articles, and translational science articles in the field of urology. BJUI employs topical sections, and is in full colour, making it easier to browse or search for something specific.