Prolonged hospital stay occurred in 21.5% of patients undergoing retropubic radical prostatectomy, with independent predictors including age, ASA score of 3, prostate volume, and African-American race.
Cohort (n=1,011)
No
What are the predictors of prolonged hospital stay after retropubic radical prostatectomy in patients with localized prostate cancer?
Preoperative factors such as age, comorbidities, ASA score, prostate volume, and race, along with operative time and complications, are independent predictors of prolonged hospital stay after retropubic radical prostatectomy.
OBJECTIVE: To evaluate the length hospital stay and predictors of prolonged hospitalization after RRP performed in a high-surgical volume teaching institution, and analyze the rate of unplanned visits to the office, emergency care, hospital readmissions and perioperative complications rates. MATERIALS AND METHODS: Retrospective analysis of prospectively collected data in a standardized database for patients with localized prostate cancer undergoing RRP in our institution between January/2010 - January/2012. A logistic regression model including preoperative variables was initially built in order to determine the factors that predict prolonged hospital stay before the surgical procedure; subsequently, a second model including both pre and intraoperative variables was analyzed. RESULTS: 1011 patients underwent RRP at our institution were evaluated. The median hospital stay was 2 days, and 217 (21.5%) patients had prolonged hospitalization. Predictors of prolonged hospital stay among the preoperative variables were ICC (OR. 1.40 p=0.003), age (OR 1.050 p<0.001), ASA score of 3 (OR. 3.260 p<0.001), prostate volume on USG-TR (OR, 1.005 p=0.038) and African-American race (OR 2.235 p=0.004); among intra and postoperative factors, operative time (OR 1.007 p=0.022) and the presence of any complications (OR 2.013 p=0.009) or major complications (OR 2.357 p=0.01) were also correlated independently with prolonged hospital stay. The complication rate was 14.5%. CONCLUSIONS: The independent predictors of prolonged hospitalization among preoperative variables were CCI, age, ASA score of 3, prostate volume on USG-TR and African-American race; amongst intra and postoperative factors, operative time, presence of any complications and major complications were correlated independently with prolonged hospital stay.
Coelho et al. (Sat,) conducted a cohort in Localized prostate cancer (n=1,011). Retropubic radical prostatectomy was evaluated on Prolonged hospital stay. Prolonged hospital stay occurred in 21.5% of patients undergoing retropubic radical prostatectomy, with independent predictors including age, ASA score of 3, prostate volume, and African-American race.