PubTransformer

A site to transform Pubmed publications into these bibliographic reference formats: ADS, BibTeX, EndNote, ISI used by the Web of Knowledge, RIS, MEDLINE, Microsoft's Word 2007 XML.

The American Society of Anesthesiologists score influences on postoperative complications and total hospital charges after laparoscopic colorectal cancer surgery.

Abstract The aim of this study was to investigate the influence of American Society of Anesthesiologists (ASA) scores on postoperative complication rates and total hospital charges following laparoscopic surgery for colorectal cancer.All patients (n = 664) underwent laparoscopic colorectal cancer surgery. A group of patients with an ASA score of 1 or 2 (n = 575) and a group of patients with an ASA score of 3 (n = 89) were compared.The mean age was higher in the group of patients with an ASA score of 3 than in the group of patients with an ASA score of 1 or 2 (70 vs 67 years). The rate of ICU admission (27% vs 15%) was higher in the ASA score 3 group. The mean hospital stay (14 vs 12 days) was longer in the ASA score 3 group. Postoperative 30-day complications (38% vs 27%), 30-day mortality (2% vs 0%), and a Clavien-Dindo classification of ≥3 (21% vs 11%) occurred more frequently in the ASA score 3 group. Mean total hospital charges were significantly higher in the ASA score 3 group (13,906 vs 11,575 USD). Independent risk factors that affected postoperative complications were older age [≥80 years, hazard ratio (HR) = 2.8], an ASA score of 3 (HR = 1.6), and the presence of a primary rectal tumor (HR = 1.6). Postoperative complication rates were 21.9%, 28.5%, and 38.2% in the ASA score 1, 2, and 3 groups, respectively. Total hospital charges were 14,376 USD and 10,877 USD in the groups with and without postoperative complications, respectively. Mean total hospital charges were 10,769 USD, 11,756 USD, and 13,906 USD in the ASA score 1, 2, and 3 groups, respectively.Preoperative ASA scores may be a predictor of postoperative complications and hospital costs when planning laparoscopic surgery for colorectal cancer.
PMID
Related Publications

Short- and long-term outcomes of laparoscopic surgery for colorectal cancer in the elderly: A prospective cohort study.

Laparoscopic splenectomy: a surgeon's experience of 302 patients with analysis of postoperative complications.

Laparoscopic versus open colectomy for patients with American Society of Anesthesiology (ASA) classifications 3 and 4: the minimally invasive approach is associated with significantly quicker recovery and reduced costs.

The association of preoperative serum albumin level and American Society of Anesthesiologists (ASA) score on early complications and survival of patients undergoing radical cystectomy for urothelial bladder cancer.

Factors associated with postoperative complications and 1-year mortality after surgery for colorectal cancer in octogenarians and nonagenarians.

Authors

Mayor MeshTerms

Colorectal Neoplasms

Laparoscopy

Postoperative Complications

Research Design

Keywords
Journal Title medicine
Publication Year Start




PMID- 29718883
OWN - NLM
STAT- MEDLINE
DCOM- 20180509
LR  - 20180509
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 18
DP  - 2018 May
TI  - The American Society of Anesthesiologists score influences on postoperative
      complications and total hospital charges after laparoscopic colorectal cancer
      surgery.
PG  - e0653
LID - 10.1097/MD.0000000000010653 [doi]
AB  - The aim of this study was to investigate the influence of American Society of
      Anesthesiologists (ASA) scores on postoperative complication rates and total
      hospital charges following laparoscopic surgery for colorectal cancer.All
      patients (n = 664) underwent laparoscopic colorectal cancer surgery. A group of
      patients with an ASA score of 1 or 2 (n = 575) and a group of patients with an
      ASA score of 3 (n = 89) were compared.The mean age was higher in the group of
      patients with an ASA score of 3 than in the group of patients with an ASA score
      of 1 or 2 (70 vs 67 years). The rate of ICU admission (27% vs 15%) was higher in 
      the ASA score 3 group. The mean hospital stay (14 vs 12 days) was longer in the
      ASA score 3 group. Postoperative 30-day complications (38% vs 27%), 30-day
      mortality (2% vs 0%), and a Clavien-Dindo classification of >/=3 (21% vs 11%)
      occurred more frequently in the ASA score 3 group. Mean total hospital charges
      were significantly higher in the ASA score 3 group (13,906 vs 11,575 USD).
      Independent risk factors that affected postoperative complications were older age
      [>/=80 years, hazard ratio (HR) = 2.8], an ASA score of 3 (HR = 1.6), and the
      presence of a primary rectal tumor (HR = 1.6). Postoperative complication rates
      were 21.9%, 28.5%, and 38.2% in the ASA score 1, 2, and 3 groups, respectively.
      Total hospital charges were 14,376 USD and 10,877 USD in the groups with and
      without postoperative complications, respectively. Mean total hospital charges
      were 10,769 USD, 11,756 USD, and 13,906 USD in the ASA score 1, 2, and 3 groups, 
      respectively.Preoperative ASA scores may be a predictor of postoperative
      complications and hospital costs when planning laparoscopic surgery for
      colorectal cancer.
FAU - Park, Jae-Hyun
AU  - Park JH
AD  - Department of Surgery.
FAU - Kim, Dong-Hyun
AU  - Kim DH
AD  - Department of Surgery.
FAU - Kim, Bo-Ra
AU  - Kim BR
AD  - Department of Internal Medicine, Yonsei University Wonju College of Medicine,
      Wonju, Korea.
FAU - Kim, Young-Wan
AU  - Kim YW
AD  - Department of Surgery.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Aged
MH  - Anesthesiology/*methods
MH  - *Colorectal Neoplasms/economics/epidemiology/pathology/surgery
MH  - Female
MH  - Hospital Charges/statistics & numerical data
MH  - Humans
MH  - *Laparoscopy/adverse effects/economics/methods
MH  - Male
MH  - Outcome and Process Assessment (Health Care)
MH  - *Postoperative Complications/diagnosis/epidemiology
MH  - Predictive Value of Tests
MH  - Preoperative Care
MH  - Prognosis
MH  - *Research Design
MH  - Retrospective Studies
MH  - Risk Assessment/methods
MH  - United States/epidemiology
EDAT- 2018/05/03 06:00
MHDA- 2018/05/10 06:00
CRDT- 2018/05/03 06:00
PHST- 2018/05/03 06:00 [entrez]
PHST- 2018/05/03 06:00 [pubmed]
PHST- 2018/05/10 06:00 [medline]
AID - 10.1097/MD.0000000000010653 [doi]
AID - 00005792-201805040-00051 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 May;97(18):e0653. doi: 10.1097/MD.0000000000010653.