Objective To explore prognostic factors of unplanned reoperation in Department of General Surgery. Methods The clinical data of 85 patients with unplanned reoperations who treated in the Northern District of the Shanghai Ninth People’s Hospital from January 2014 to May 2017 were retrospectively collected. The risk factors such as preoperative basic information, surgical related information, and postoperative information for death of unplanned reoperations were analyzed. Results There were 72 cured patients and 12 deaths in the 85 patients. The univariate analysis results showed that the age was older (P<0.05), the operative time was longer (P<0.05) in the patients with death as compared with the cured patients; the with basic diseases, selective operation, high grade of ASA, preoperative hemoglobin <90 g/L, admission to ICU after unplanned reoperations, postoperative complications, and multiple reoperations were correlated with the mortality of unplanned reoperations (P<0.05). The multivariate analysis results showed that the elderly patients, preoperative hemoglobin <90 g/L, and postoperative complications were the independent prognostic factors (P<0.05). The satisfaction of patients at discharge in the death group was significantly lower than that in the survival group (P<0.05). Conclusion Ederly patient, preoperative hemoglobin <90 g/L, and postoperative complications are independent prognostic factors of unplanned reoperations in Department of General Surgery.
ObjectiveTo explore risk factors and prognosis of unplanned reoperation in patients with malignant tumors of digestive tract. MethodsThe clinical data of patients with malignant tumors of digestive tract underwent unplanned reoperation who treated in the Department of General Surgery, the Northern District of the Shanghai Ninth People’s Hospital from January 2014 to December 2017 were retrospectively collected, and each operation was matched in a ratio of 1∶3 as a case-conontrol study object. The risk factors and prognosis of unplanned reoperation were analyzed by the basic information, surgical related informations, and postoperative relevant informations. ResultsThere were 33 cases of unplanned reoperation in the 588 patients with malignant tumors of digestive tract treated surgically, 8 cases died after the unplanned reoperation. The analysis results showed that the basic diseases, history of previous abdominal surgery, preoperative anemia, the first operative time >4 h and intraoperative blood loss ≥400 mL were the independent risk factors of the unplanned reoperations (P<0.050); the basic diseases, unplanned preoperative hemoglobin <90 g/L and intraoperative blood loss ≥400 mL were the independent factors of death for patients with unplanned reoperation (P<0.050). ConclusionsEffective intervention on independent risk factors associated with unplanned reoperation in patients with digestive tract malignant tumors can reduce incidence of unplanned reoperation in future and improve prognosis.
Objective To explore the factors associated with the occurrence of unplanned reoperations. Methods Surgical cases at Peking University Shenzhen Hospital from 2015 to 2023 were collected. After excluding unplanned reoperations, according to whether unplanned reoperation occurs, the included surgeries would be divided into the generate unplanned reoperation group and the non-generate unplanned reoperation group. Based on gender and age, the included surgery was matched with a propensity score of 1∶4 ratio. A logistic multiple regression model was established to investigate the influencing factors of unplanned reoperations. Results A total of 4 485 surgeries were included. Among them, there were 891 cases in the generate unplanned reoperation group and 3 594 cases in the non-generate unplanned reoperation group. The logistic regression analysis of the influencing factors of unplanned reoperation showed that different surgical levels, American Society of Anesthesiologists grades, surgical types, anesthesia methods, surgical time, and whether the unplanned reoperation discussion system can all affect unplanned reoperation (P<0.05). Conclusions The surgical level, American Society of Anesthesiologists grades, surgical types, anesthesia methods, surgical time, and whether the unplanned reoperation discussion system are influencing factors for the occurrence of unplanned reoperation. The occurrence of unplanned reoperation involves multiple levels of both the medical side and the patient side. It is necessary to formulate patient classification and early warning management and procedural prevention of unplanned reoperation based on each factor to ensure patient safety.