Financial validation of the European Society of Thoracic Surgeons risk score predicting prolonged air leak after video-assisted thoracic surgery lobectomy
Financial validation of the European Society of Thoracic Surgeons risk score predicting prolonged air leak after video-assisted thoracic surgery lobectomy
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DOI：
10.1016/j.jtcvs.2018.04.085
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发表时间：
2018-09-01
影响因子：
6
通讯作者：
Imperatori, Andrea
中科院分区：
文献类型：
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作者：
Brunelli, Alessandro;Pompili, Cecilia;Imperatori, Andrea
目的：本研究的目的是验证是否欧洲胸外科医师协会延长漏气风险评分的电视辅助胸腔镜肺叶切除术与术后成本增加。方法：我们回顾性分析了353例患者进行电视辅助胸腔镜肺叶切除术或肺段切除术（2014年4月至2016年3月）。术后费用从医院财务部获得。根据患者的长期漏气风险评分，将患者分为不同的风险类别。为了验证长期漏气风险评分与术后成本的独立相关性，我们进行了逐步多变量回归分析，其中因变量为术后cost.Results：56例患者（15.9%）发生长期漏气。与无持续漏气组相比，持续漏气组的住院时间延长了3d（8.3vs5.4，P
Objectives: The objective of this study was to verify whether the European Society of Thoracic Surgeons prolonged air leak risk score for video-assisted thoracoscopic lobectomy was associated with incremental postoperative costs.Methods: We retrospectively analyzed 353 patients subjected to video-assisted thoracoscopic lobectomy or segmentectomy (April 2014 to March 2016). Postoperative costs were obtained from the hospital Finance Department. Patients were grouped in different classes of risk according to their prolonged air leak risk score. To verify the independent association of the prolonged air leak risk score with postoperative costs, we performed a stepwise multivariable regression analysis in which the dependent variable was postoperative cost.Results: Prolonged air leak developed in 56 patients (15.9%). Their length of stay was 3 days longer compared with those without prolonged air leak (8.3 vs 5.4, P