Risk factors for prolonged length of stay after major elective surgery

Annals of Surgery

Volumn 230, Issue 2, 1999, Pages 251-259

  Collins, Tracie C ^a,b,f   Daley, Jennifer ^a,b,c   Henderson, William H ^d   Khuri, Shukri F ^a,b,e  

^a VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c BETH ISRAEL DEACONESS MEDICAL CENTER   (United States)

^d Hines VA Coop Studs Prog C   (United States)

^e BRIGHAM AND WOMEN S HOSPITAL   (United States)

^f DEPARTMENT OF VETERANS AFFAIRS   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; BLOOD TRANSFUSION; COST; ELECTIVE SURGERY; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; OPERATION DURATION; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; RISK FACTOR;

AGED; FEMALE; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; POSTOPERATIVE COMPLICATIONS; RISK FACTORS; SURGICAL PROCEDURES, ELECTIVE;

EID: 0033512917     PISSN: 00034932     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000658-199908000-00016     Document Type: Article

References (40)

1. Angus AC, Linde-Zwirble WT, Sirio CA, et al. The effect of managed care on ICU length of stay implications for Medicare. JAMA 1996; 276:1075-1082.
2. Luft HS, Hunt SS. Evaluating individual hospital quality through outcome statistics. JAMA 1986; 255:2780.
3. Hebel JR, Kessler II, Mabuchi K, McCarter RJ. Assessment of hospital performance by use of death rates: A recent case history. JAMA 1982; 248:3131-3135.
4. McClellan M, McNeil BJ, Newhouse JP. Does more intensive treatment of acute myocardial infarction in the elderly reduce mortality? Analysis using instrumental variables. JAMA 1994; 272:859-866.
5. Daley J. Validity of risk adjustment methods. In: Iezzoni LI, ed. Risk Adjustment for Measuring Health Care Outcomes. Ann Arbor, MI: Health Administration Press; 1997:239-262.
6. Iezzoni LI. Risk adjustment and current health policy debates. In: lezzoni LI, ed. Risk Adjustment for Measuring Health Care Outcomes, 2d ed. Ann Arbor, MI: Health Administration Press; 1997:357.
7. Kalish RL, Daley J, Duncan CC, Davis RB, Coffman GA, Iezzoni LI. Costs of potential complications of care for major surgery patients. Am J Med Quality 1995; 10:48-54.
8. Daley J, Jencks S, Draper D, Lenhart G, Thomas N, Walker J. Predicting hospital-associated mortality for Medicare patients. JAMA 1988; 260:3617-3624.
9. Roberts AJ, Woodhall DD, Conti CR, et al. Mortality, morbidity, and cost accounting related to coronary artery bypass surgery in the elderly. Ann Thorac Surg 1985; 39:426-432.
10. Montague NT, Kouchoukos NT, Wilson TAS, et al. Morbidity and mortality of coronary artery bypass grafting in patients 70 years of age or older. Ann Thorac Surg 1985; 39:552-557.
11. Grover Fl, Hammermeister KE, Burchfiel C. Initial report of the Veterans Administration Preoperative Risk Assessment Study for Cardiac Surgery. Ann Thorac Surg 1990; 50:12-28.
12. Hammermeister KE, Burchfiel C, Johnson R, and Grover FL, for the VA Surgeons and Cardiologists. Identification of patients at greatest risk for developing major complications at cardiac surgery. Circulation 1990; 82 (Suppl 4):380-389.
13. Grover FL, Johnson RR, Hammermeister KE, and the VA Cardiac Surgeons. Factors predictive of operative mortality among coronary artery bypass subsets. Ann Thorac Surg 1993; 56:1296-1307.
14. Grover FL, Johnson RR, Shrover AL, et al. The Veterans Affairs Continuous Improvement in Cardiac Surgery Study. Ann Thorac Surg 1994; 58:1845-1851.
15. Hammermeister KE, Johnson R, Marshall G, Grover FL. Continuous assessment and improvement in quality of care. A model from the Department of Veterans Affairs. Ann Surg 1994; 219:281-290.
16. Macario A, Vitez TS, Dunn B, McDonald T, Brown B. Hospital costs and severity of illness in three types of elective surgery. Anesthesiology 1997; 86:92-100.
17. Cleary PD, Greenfield S, Mulley AG, et al. Variations in length of stay and outcomes for six medical and surgical conditions in Massachusetts and California. JAMA 1991; 266:73-79.
18. Greenfield S, Apolone G, McNeil BJ, Cleary PD. The importance of co-existent disease in the occurrence of postoperative complications and one-year recovery in patients undergoing total hip replacement. Med Care 1993; 31:141-154.
19. McAleese P, Odling-Smee W. The effect of complications on length of stay. Ann Surg 1994; 220:740-744.
20. Khuri SF, Daley J, Henderson WG, et al. The National Veterans Administration Surgical Risk Study: Risk adjustment for the comparative assessment of the quality of surgical care. J Am Coll Surg 1995; 180:519-609.
21. Khuri SF, Daley J, Henderson WG, et al. Risk adjustment of the postoperative mortality rate for the comparative assessment of the quality of surgical care: Results of the National Veterans Affairs Surgical Risk Study. J Am Coll Surg 1997; 185:315-327.
22. Daley J, Khuri SK, Henderson WH, et al. Comparative assessment of thirty-day morbidity following major surgery: Results of the National VA Surgical Risk Study. J Am Coll Surg 1997; 185:328-340.
23. Garner JS, Jarvis WR, Emori TG, Horan TC, Hughes JM. CDC definitions for nosocomial infections. Am J Infection Control 1988; 16:128-140.
24. Hanley JA, McNeil BJ. The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology 1982; 143: 29-36.
25. Goldman K, Caldera D, Nussbaum SR, et al. Multifactorial index of cardiac risk in noncardiac surgical procedures. N Engl J Med 1977; 297:845-850.
26. Goldman L. Cardiac risks and complications of noncardiac surgery. Ann Intern Med 1983; 98:504-513.
27. Jewell ER, Perrson AV. Preoperative evaluation of the high-risk patient. Surg Clin North Am 1985; 65:3-19.
28. Roberts AJ, Woodhall DD, Conti CR, et al. Mortality, morbidity, and cost-accounting related to coronary artery bypass graft surgery in the elderly. Ann Thoracic Surg 1985; 39:426-432.
29. Detsky AS, Abrams HB, McLaughlin JR, et al. Predicting cardiac complications in patients undergoing non-cardiac surgery. J Gen Intern Med 1986; 1:211-219.
30. Kroenke MK. Preoperative evaluation: The assessment and management of surgical risk. J Gen Intern Med 1987:2:257-269.
31. Abdel-Salam A, Eyres KS. Effects of tourniquet during total knee arthroplasty. A prospective randomised study. J Bone Joint Surg [Br] 1995; 77:250-253.
32. Lotke PA, Faralli VJ, Orenstein EM, Ecker ML. Blood loss after total knee replacement: Effects of tourniquet release and continuous passive motion. J Bone Joint Surg [Am] 1991; 73:1037-1040.
33. Soledad C, Ponce JL, Delgado F, Viciano V, Mateu M. Prevention of postoperative pulmonary complications through respiratory rehabilitation: A controlled clinical study. Arch Phys Med Rehabil 1998; 79:5-9.
34. Cullen DJ, Giovanni A, Greenfield S, et al. ASA physical status and age predict morbidity after three surgical procedures. Ann Surg 1994; 220:3-9.
35. Magdi KM. Length of postoperative hospital stay after transurethral resection of the prostate. Ann R Coll Surg Engl 1997; 79:284-288.
36. Katz NM, Ahmed SW, Clark BK, Wallace RB. Predictors of length of hospitalization after cardiac surgery. Ann Thorac Surg 1985; 45:656-660.
37. Burns LR, Wholey DR. The effects of patient, hospital, and physician characteristics on length of stay and mortality. Med Care 1991; 29: 251-271.
38. Evans JH, Hwang Y, Nagarajan N. Physicians' response to length-of-stay profiling. Med Care 1995; 33:1106-1119.
39. Marrin CAS, Johnson LC, Beggs VL, Batalden PB. Clinical process cost analysis. Ann Thorac Surg 1997; 64:690-694.
40. Munoz E, Bartholomew JT, Jaker M, Sakmyster M, Kanofsky P. Surgical resource consumption in an academic health consortium. Surgery 1994; 115:411-416.