MP60-20 ADVERSE OUTCOMES FOLLOWING RADICAL CYSTECTOMY

You have accessJournal of UrologyBladder Cancer: Invasive III1 Apr 2014MP60-20 ADVERSE OUTCOMES FOLLOWING RADICAL CYSTECTOMY Rodney Breau, Luke Lavallee, Kelsey Witiuk, Ranjeeta Mallick, Dean Fergusson, David Schramm, Ilias Cagiannos, and Chris Morash Rodney BreauRodney Breau More articles by this author , Luke LavalleeLuke Lavallee More articles by this author , Kelsey WitiukKelsey Witiuk More articles by this author , Ranjeeta MallickRanjeeta Mallick More articles by this author , Dean FergussonDean Fergusson More articles by this author , David SchrammDavid Schramm More articles by this author , Ilias CagiannosIlias Cagiannos More articles by this author , and Chris MorashChris Morash More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.1774AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail Introduction and Objectives Adverse events following radical cystectomy are inadequately characterized. The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) provides highly accurate information on patient outcomes within 30 days of surgery. Our objective is to characterize the incidence of adverse events up to 30 days following radical cystectomy. Methods All radical cystectomy patients from NSQIP hospitals between 2006 and 2012 were included. Baseline information and adverse events were abstracted by trained study nurses through medical record review and direct patient contact. Interrater accuracy of NSQIP nurse assessments has been shown to be greater than 95%. Results During the study period, 2303 patients met inclusion criteria. 1115 (48%) patients were over 70 years old, 1911 (85%) were white, 1819 (79%) were male and the median BMI was 28 (IQR 24 to 32). Median hospital stay was 8 days (IQR 7 to 13 days). Overall, 1278 (55%) patients experienced at least 1 post-operative adverse event. The most common adverse event was blood transfusion (n=875; 38%). Infectious complications were common with 218 (10%) urinary tract infections, 193 (8%) surgical site infections, and 223 (10%) sepsis events. Seventy-three (3%) patients had fascial wound dehiscence. Twenty-two (1%) patients had cardiac arrest and 82 (4%) developed a deep vein thrombosis. Conclusions Adverse events are common following a radical cystectomy. This study provides accurate information for pre-operative patient counselling. Targets for quality improvement interventions have also been identified. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e640 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Rodney Breau More articles by this author Luke Lavallee More articles by this author Kelsey Witiuk More articles by this author Ranjeeta Mallick More articles by this author Dean Fergusson More articles by this author David Schramm More articles by this author Ilias Cagiannos More articles by this author Chris Morash More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...