Validated model for predicting postoperative respiratory failure: analysis of 1706 abdominal wall reconstructions.

Publication/Presentation Date

11-1-2013

Abstract

BACKGROUND: Abdominal wall reconstruction can be associated with significant rates of respiratory events. In this current study, the authors aim to characterize perioperative risk factors associated with postoperative respiratory failure and derive a model with which to predict postoperative respiratory failure.

METHODS: The authors reviewed the 2005 to 2010 American College of Surgeons National Surgical Quality Improvement Program databases, identifying encounters for Current Procedural Terminology codes for both hernia repair (49560, 49561, 49565, 49566, and 49568) and component separation (15734). A predictive model of postoperative respiratory failure was developed using logistic regression analyses and validated using a bootstrap technique.

RESULTS: Of 1706 patients undergoing complex abdominal reconstructions in the study period, 102 (6.0 percent) experienced postoperative respiratory failure. Patients experiencing postoperative respiratory failure had longer admissions (21.0±18.5 versus 5.9±5.5 days, p

CONCLUSIONS: A validated predictive model and clinical risk-assessment tool of postoperative respiratory failure following abdominal wall reconstruction is presented. Respiratory complications were associated with significantly longer hospital stays and higher rates of mortality. Data derived from this large cohort can be used to risk-stratify patients and to enhance perioperative decision-making.

CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, III.

Volume

132

Issue

5

First Page

826

Last Page

826

ISSN

1529-4242

Disciplines

Medicine and Health Sciences

PubMedID

24165634

Department(s)

Department of Surgery

Document Type

Article

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