ArticlePatient safety in surgery2024
Association between postoperative complications and hospital length of stay: a large-scale observational study of 4,495,582 patients in the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) registry.
Article in Patient safety in surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The role of exercise-based prehabilitation in enhancing surgical outcomes for patients with digestive system cancers: a meta-analysis.BMC gastroenterology · 2025Pooled it
- Modifiable pre-operative physiological predictors of length of stay following shoulder arthroplasty: a systematic review.JSES reviews, reports, and techniques · 2026Review
- Economic Impact of Multidisciplinary Pre-operative Diabetes Care Versus Usual Care in Adults Undergoing Elective Non-cardiac Surgery in Australia: A Trial-Based Analysis.Diabetes, obesity & metabolism · 2026Article
- Article
- Pulmonary Reserve and Respiratory Recovery After Cardiac Surgery: Insights from Preoperative Spirometric Phenotyping.Biomedicines · 2026Article
- Mortality attributed to complications of surgical operations in the United States: a retrospective cohort study of death certificate data, 1999-2024.Annals of medicine and surgery (2012) · 2026Article
- Proof-of-concept study for a national geriatric hip fracture registry in Brazil.Patient safety in surgery · 2026Article
- Predictors and prognostic value for in-hospital outcomes associated with postoperative anemia in cardiac surgery: a retrospective cohort study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2026Article
- Construction of a predictive model for prolonged length of stay in patients undergoing non-intubated thoracoscopic resection of lung cancer.Journal of thoracic disease · 2026Article
- Determinants of 28-day perioperative mortality and postoperative length of hospital stay among geriatric patients: a two-center prospective follow-up study in Ethiopia.BMC geriatrics · 2026Article
- Heterogeneity Within Frailty: Physiological Reserve Phenotypes and Postoperative Recovery After Abdominal Surgery.Journal of clinical medicine · 2026Article
- Comparison of Reoperation and Complication Rates Between Acute and Delayed Advanced Nerve Interface Procedures in Lower-Extremity Amputees.Journal of clinical medicine · 2026Article
- Article
- Prenatal MRI abdominal volumetrics and outcomes after early surgery or paint-and-wait for giant omphalocele.Frontiers in pediatrics · 2026Article
- Impact of postoperative complications on cost and length of stay: multicentre prospective clinical study.The British journal of surgery · 2025Article
- The challenge of robotic surgery in oncology: a feasibility study with the Senhance™ Surgical System.Journal of robotic surgery · 2025Observational
- Hospital-acquired COVID-19 and its effect on length of stay and mortality in orthopedic admissions: A matched cohort study.Journal of orthopaedics · 2025Article
- Ventriculoperitoneal Shunt Infections: Causative Pathogens and Associated Outcomes from Multiple Hospitals in Saudi Arabia.Journal of clinical medicine · 2025Article
- Predictors of Pulmonary Complications Including Unplanned Intubation Within 30 Days of Femoral Open Reduction and Internal Fixation.Orthopedic reviews · 2025Article
- Impact of Intraoperative Blood Transfusions on Survival Rates in Ovarian Cancer Patients.Cancer control : journal of the Moffitt Cancer CenterArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrecise estimates of risk-adjusted increases in postoperative length of stay (LOS) associated with postoperative complications across a range of complications and operations are not available in the existing literature.
methodsAssociations between preoperative characteristics, postoperative complications and postoperative LOS were tested using medians, interquartile ranges, and nonparametric rank sum tests in a retrospective cohort study using the 2005-2018 American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) dataset. A negative binomial model was used with postoperative LOS as the dependent variable and preoperative characteristics and postoperative complications as independent variables. The model was applied to estimate each patient's postoperative LOS with and without each postoperative complication to measure the association between each complication and risk-adjusted change in postoperative LOS.
resultsA total of 4,495,582 patients were included. After risk-adjustment, occurrence of each postoperative complication was associated with significantly increased postoperative LOS (between + 3.9 and + 20.1 days, p < 0.0001). The longest risk-adjusted postoperative LOS increases were associated with prolonged ventilator use (+ 20.1 days), wound disruption (+ 19.4 days), and acute renal failure (+ 17.1 days).
conclusionOccurrence of any postoperative complication was associated with increased risk-adjusted postoperative LOS. Degree of increase varied by complication. These data could be useful for patient counseling, allocation of resources, discharge planning, and quality improvement efforts.
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