Author of

• 31680

  +

  P2.16 - Treatment in the Real World - Support, Survivorship, Systems Research (ID 187)

  • Event: WCLC 2019
  • Type: Poster Viewing in the Exhibit Hall
  • Track: Treatment in the Real World - Support, Survivorship, Systems Research
  • Presentations: 1
  • Moderators:
  • Coordinates: 9/09/2019, 10:15 - 18:15, Exhibit Hall

  • 31719

    +

    P2.16-35 - Factors Associated with Prolonged Postoperative Hospital Stay in Patients Undergoing Lung Cancer Surgery (ID 2489)

    10:15 - 18:15  |  Author(s): Jintao He
    • Abstract

    Background
    

    It is important to focus on the risk factors associated with prolonged postoperative hospital stay (PHS) as they can significantly increase medical costs. The study aimed to identify independent risk factors of prolonged PHS in patients who underwent lung cancer surgery.

    Method
    

    Data were collected from an ongoing, real-world, multicenter, prospective, observational study (NCT03341377). Inclusion criteria were age 18 years and older, no cognitive impairment and ability to understand the study requirements, pathological primary lung cancer diagnosis, and scheduled surgical procedure. Prolonged PHS was defined as hospitalization for more than 7 days after a lung cancer surgery. Logistic regression was used to identify risk factors of prolonged PHS.

    Result
    

    A total of 192 patients (117 males and 75 females) who underwent lung cancer surgery were included. The median PHS was 7 days (range, 2–46 days). Among 192 patients, 64 (33.3%) had prolonged PHS. Among those with PHS, 73.4% were males and patients with a smoking history accounted for 60.9%, Charlson Comorbidity Index scores of >1 for 57.8%, tumor located in the upper lobe for 64.1%, open surgery for 57.8%, lobectomy for 64.1%, systematic lymphadenectomy for 57.8%, and tumor stage ≥Ⅱ accounted for 59.4%. The overall in-hospital complication rate was 25%. The most common complication was prolonged air leak. The multivariate analysis revealed that the surgical approach (open vs. video-assisted thoracoscopic surgery) (OR 2.65, 95% CI 1.05-6.67; P=0.039) and in-hospital complications (no vs. yes) (OR 0.15, 95% CI 0.06-0.35; P<0.001) were independent risk factors of prolonged PHS.

    

    Conclusion
    

    Prolonged PHS is still very common in the real world. Open surgery and in-hospital complications were the two main reasons of prolonged PHS in patients who underwent lung cancer surgery. Further studies with a larger sample size are warranted to confirm our results.