Morbidity and 30-day mortality after decortication for parapneumonic empyema and pleural effusion among patients in the Society of Thoracic Surgeons' General Thoracic Surgery Database

The Journal of Thoracic and Cardiovascular Surgery
Christopher W TowePhilip A Linden

Abstract

We analyzed the Society of Thoracic Surgeons' Database to describe the results of surgical decortication. A review of patients undergoing pulmonary decortication, excluding hemothorax and malignancy, from 2009 to 2016 was performed. Preoperative factors, length of stay, discharge status, readmission, morbidity, and mortality were compared between open and video-assisted thoracoscopic surgery approaches. Multivariable models identified risk factors for morbidity and mortality. Of 7316 patients undergoing decortication, 6961 (95.2%) had a primary diagnosis of empyema. Video-assisted thoracoscopic surgery was used in 4435 patients (60.6%) and increased during the study period. Median length of stay was 4 days (interquartile range, 2-7) preoperatively and 7 days (interquartile range, 5-11) postoperatively. Mortality occurred in 228 patients (3.1%). Complications occurred in 2875 patients (39.3%), and major morbidity occurred in 1138 patients (15.6%). Transitional care after discharge occurred in 1922 patients (26.3%). Readmission within 30 days occurred in 452 patients (8.7%). Compared with video-assisted thoracoscopic surgery, mortality, major morbidity, prolonged length of stay, and discharge to other than home were higher with t...Continue Reading

References

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Citations

Dec 8, 2020·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Joshua S NewmanDavid Zeltsman
Mar 1, 2019·The Journal of Thoracic and Cardiovascular Surgery·David Miranda, Aaron M Cheng
Dec 7, 2018·The Journal of Thoracic and Cardiovascular Surgery·K Robert Shen
Oct 2, 2020·Annals of the American Thoracic Society·Ishaan GuptaMajid Shafiq
Nov 26, 2020·Journal of Bronchology & Interventional Pulmonology·Shamus R CarrHarrison M Lazarus
May 24, 2021·Chest·Srinivas R MummadiPeter Y Hahn

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