Discharge disposition after pancreatic resection for malignancy: analysis of national trends

作者：Shah Bhavin C; Smith Lynette M; Ullrich Fred; Are Chandrakanth^*

来源：Hepato Pancreato Biliary, 2012, 14(3): 201-208.

DOI：10.1111/j.1477-2574.2011.00427.x

• pancreatic resection
• malignancy
• discharge disposition
• factors
• age
• comorbidities

Objectives: The aim of this study is to analyse national trends in discharge disposition following pancreatic resection for malignancy in the USA. %26lt;br%26gt;Methods: The Nationwide Inpatient Sample database was queried for 1993-2005 to identify patients who underwent pancreatic resection for malignancy. The status of patients at discharge ( to home, home with home health care or to another facility) was noted. %26lt;br%26gt;Results: A weighted total of 51 866 patients who underwent pancreatectomy for malignant neoplasm of the pancreas were identified. Patients who died in the postoperative period and patients without a specified discharge disposition were excluded, leaving 43 603 patients for inclusion in the study. Overall mortality improved over the period of the study from 7.1% in 1993 to 5.2% in 2005. The number of patients discharged to another facility increased significantly from 5.5% in 1993 to 13.3% in 2005. Similarly, the number of patients discharged to home with home health assistance increased from 20.0% in 1993 to 33.0% in 2005. This corresponded with a statistically significant decrease in the number of patients discharged to home without assistance, from 74.5% in 1993 to 53.7% in 2005 ( P = 0.002). %26lt;br%26gt;Conclusions: The results of our study demonstrate that following pancreatic resection for malignancy, nearly half the patients will require some assistance after discharge.

• 出版日期2012-3