Morbidity and mortality after general surgery in heart and lung transplant patients
Background: Heart and lung transplant patients can develop conditions necessitating general surgery procedures. Their postoperative morbidity and mortality remain poorly characterized and limited to case series from select centers. Methods: The National Inpatient Sample (1998–2015) was used to ident...
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doaj-a0967dea9c0c4593a7a99b22e898f11f2020-11-25T02:58:02ZengElsevierSurgery Open Science2589-84502020-07-0123140146Morbidity and mortality after general surgery in heart and lung transplant patientsAlek Zywot, MD, MPH0Amber L. Turner, MPH1Joanna Sesti, MD2Russell C. Langan, MD3Andrew Nguyen, MD4Andreas R. de Biasi, MD5Siva Raja, MD, PhD6Usman Ahmad, MD7Subroto Paul, MD, MPH8Thoracic Surgical Services, RWJBarnabas Health, Saint Barnabas Medical Center, West Orange, NJDepartment of Surgery, RWJBarnabas Health, Saint Barnabas Medical Center, Livingston, NJ; Corresponding author at: Department of Surgery, RWJBarnabas Health, Saint Barnabas Medical Center, 94 Old Short Hills Rd, Livingston, NJ 07039. Tel.: +1 973 322 2224; fax: +1 973 322 8565.Thoracic Surgical Services, RWJBarnabas Health, Saint Barnabas Medical Center, West Orange, NJ; Department of Surgery, RWJBarnabas Health, Saint Barnabas Medical Center, Livingston, NJDepartment of Surgery, RWJBarnabas Health, Saint Barnabas Medical Center, Livingston, NJ; Department of Surgical Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJThoracic Surgical Services, RWJBarnabas Health, Saint Barnabas Medical Center, West Orange, NJ; Department of Surgery, Rutgers New Jersey Medical School, Newark, NJDepartment of Cardiothoracic Surgery, Stanford University, Stanford, CADepartment of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OHDepartment of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH; Transplantation Institute, Cleveland Clinic, Cleveland, OHThoracic Surgical Services, RWJBarnabas Health, Saint Barnabas Medical Center, West Orange, NJ; Department of Surgery, RWJBarnabas Health, Saint Barnabas Medical Center, Livingston, NJ; Department of Surgery, Rutgers New Jersey Medical School, Newark, NJBackground: Heart and lung transplant patients can develop conditions necessitating general surgery procedures. Their postoperative morbidity and mortality remain poorly characterized and limited to case series from select centers. Methods: The National Inpatient Sample (1998–2015) was used to identify 6433 heart and 3015 lung transplant patient admissions for general surgery procedures. For a comparator group, we identified 23,764,164 nontransplant patient admissions for the same procedures. Patient morbidity and mortality after general surgery were compared between transplant patients and nontransplant patients. Data were analyzed with frequency tables, χ2 analysis, and a mixed-effects multivariate regression. Results: Overall mortality was higher and length of stay longer in the transplant group compared to the nontransplant group. Analysis revealed that hospital size and comorbidities were predictors of mortality for patients undergoing certain general surgery procedures. Transplant status alone did not predict mortality. Conclusion: Our findings demonstrate that heart and lung transplant patients, compared to nontransplant patients, have more complications and a higher length of stay after certain general surgery procedures.http://www.sciencedirect.com/science/article/pii/S2589845020300014 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Alek Zywot, MD, MPH Amber L. Turner, MPH Joanna Sesti, MD Russell C. Langan, MD Andrew Nguyen, MD Andreas R. de Biasi, MD Siva Raja, MD, PhD Usman Ahmad, MD Subroto Paul, MD, MPH |
spellingShingle |
Alek Zywot, MD, MPH Amber L. Turner, MPH Joanna Sesti, MD Russell C. Langan, MD Andrew Nguyen, MD Andreas R. de Biasi, MD Siva Raja, MD, PhD Usman Ahmad, MD Subroto Paul, MD, MPH Morbidity and mortality after general surgery in heart and lung transplant patients Surgery Open Science |
author_facet |
Alek Zywot, MD, MPH Amber L. Turner, MPH Joanna Sesti, MD Russell C. Langan, MD Andrew Nguyen, MD Andreas R. de Biasi, MD Siva Raja, MD, PhD Usman Ahmad, MD Subroto Paul, MD, MPH |
author_sort |
Alek Zywot, MD, MPH |
title |
Morbidity and mortality after general surgery in heart and lung transplant patients |
title_short |
Morbidity and mortality after general surgery in heart and lung transplant patients |
title_full |
Morbidity and mortality after general surgery in heart and lung transplant patients |
title_fullStr |
Morbidity and mortality after general surgery in heart and lung transplant patients |
title_full_unstemmed |
Morbidity and mortality after general surgery in heart and lung transplant patients |
title_sort |
morbidity and mortality after general surgery in heart and lung transplant patients |
publisher |
Elsevier |
series |
Surgery Open Science |
issn |
2589-8450 |
publishDate |
2020-07-01 |
description |
Background: Heart and lung transplant patients can develop conditions necessitating general surgery procedures. Their postoperative morbidity and mortality remain poorly characterized and limited to case series from select centers. Methods: The National Inpatient Sample (1998–2015) was used to identify 6433 heart and 3015 lung transplant patient admissions for general surgery procedures. For a comparator group, we identified 23,764,164 nontransplant patient admissions for the same procedures. Patient morbidity and mortality after general surgery were compared between transplant patients and nontransplant patients. Data were analyzed with frequency tables, χ2 analysis, and a mixed-effects multivariate regression. Results: Overall mortality was higher and length of stay longer in the transplant group compared to the nontransplant group. Analysis revealed that hospital size and comorbidities were predictors of mortality for patients undergoing certain general surgery procedures. Transplant status alone did not predict mortality. Conclusion: Our findings demonstrate that heart and lung transplant patients, compared to nontransplant patients, have more complications and a higher length of stay after certain general surgery procedures. |
url |
http://www.sciencedirect.com/science/article/pii/S2589845020300014 |
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