Abstract:
BACKGROUND:This study aimed to determine whether pre-operative medication use is associated with unplanned 30-day readmission in elderly people undergoing cancer surgery. METHODS:Patients aged 65 years or older who were scheduled for cancer surgery and presented for comprehensive geriatric assessment were included. Comparisons of variables between patients with readmission and those without readmission were performed by univariate and multivariate analyses. RESULTS:A total of 473 patients were included. Multivariate analysis showed that pre-operative discontinuation-requiring medications (PDRMs) and gastrointestinal/hepato-pancreato-biliary (GI/HPB) cancer were significant factors for 30-day readmission. PDRM increased the risk of readmission by about 2.2-fold. Attributable risk of PDRM to readmission was around 55%. The adjusted odds ratio and attributable risk for GI/HPB surgery was 3.4 (95% CI 1.0-11.5) and 70.8%, respectively. CONCLUSIONS:Medication use has an impact on unplanned 30-day readmission in geriatric oncology patients, further highlighting the importance of medication optimization for elderly patients with cancer surgery.
journal_name
Am J Surgjournal_title
American journal of surgeryauthors
Jeon MS,Jeong YM,Yee J,Lee E,Kim KI,Lee BK,Rhie SJ,Chung JE,Gwak HSdoi
10.1016/j.amjsurg.2019.06.020subject
Has Abstractpub_date
2020-06-01 00:00:00pages
963-968issue
6eissn
0002-9610issn
1879-1883pii
S0002-9610(18)31185-1journal_volume
219pub_type
杂志文章abstract::Despite the advantages of aseptic nonoperative intubation of the small intestine for decompression of obstructed loops, 48% of the attempts lead to failure to pass the tube through the pylorus. The difficulty and inconvenience of passage beyond the stomach have been overcome by the development of a special tube attach...
journal_title:American journal of surgery
pub_type: 杂志文章
doi:10.1016/0002-9610(76)90427-x
更新日期:1976-01-01 00:00:00
abstract:BACKGROUND:Crohn's disease is an aggressive chronic inflammatory disorder, and despite medical advances no cure exists. There is a great risk of requiring an operative intervention, with evidence of recurrence developing in up to 80-90% of cases. Therefore, we sought to systematically review the current status in the p...
journal_title:American journal of surgery
pub_type: 杂志文章,评审
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更新日期:2017-11-01 00:00:00
abstract:BACKGROUND:Luminal pressure may injure the gut mucosa in obstruction, ileus, or inflammatory bowel disease. METHODS:We formed Roux-en-Y anastomoses in 19 mice, creating proximal and defunctionalized partially obstructed limbs and a distal limb to vary luminal pressure and flow. We induced mucosal ulcers by serosal ace...
journal_title:American journal of surgery
pub_type: 杂志文章
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abstract:BACKGROUND:The severity of ischemia and reperfusion (I/R) injury is an important determinant of patient outcome in hepatic surgery. The aim of this study was to investigate the efficacy of a protease inhibitor in alleviating I/R injury to human liver in the setting of hepatectomy under intermittent Pringle maneuver. M...
journal_title:American journal of surgery
pub_type: 杂志文章,随机对照试验
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更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Prospective evaluation of the percutaneous tracheostomy by the guide wire dilating forceps (GWDF) technique. METHODS:In 50 selected patients percutaneous tracheostomy with fiberscopic control was performed and evaluated. RESULTS:Most percutaneous tracheostomies were performed without any adverse effect. No...
journal_title:American journal of surgery
pub_type: 临床试验,杂志文章
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journal_title:American journal of surgery
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journal_title:American journal of surgery
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journal_title:American journal of surgery
pub_type: 杂志文章
doi:10.1016/j.amjsurg.2005.01.025
更新日期:2005-05-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章
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journal_title:American journal of surgery
pub_type: 杂志文章
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journal_title:American journal of surgery
pub_type: 传,历史文章,杂志文章
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更新日期:1998-11-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章,多中心研究
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更新日期:2015-11-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章
doi:10.1016/0002-9610(89)90438-8
更新日期:1989-01-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章
doi:10.1016/0002-9610(87)90191-7
更新日期:1987-08-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章
doi:10.1016/0002-9610(78)90213-1
更新日期:1978-07-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章,评审
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更新日期:2016-10-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章
doi:10.1016/j.amjsurg.2014.10.014
更新日期:2015-03-01 00:00:00
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pub_type: 临床试验,杂志文章
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journal_title:American journal of surgery
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journal_title:American journal of surgery
pub_type: 杂志文章
doi:10.1016/0002-9610(83)90419-1
更新日期:1983-09-01 00:00:00
abstract::Thymectomy was performed on 249 patients with myasthenia gravis between 1957 and 1981. During a follow-up period that ranged from 2 months to 24 years (mean 7.5 years), the remission rate for the entire group was 51 percent, and an additional 36 percent had improvement (87 percent benefited). In those 51 patients with...
journal_title:American journal of surgery
pub_type: 杂志文章
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更新日期:1983-07-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章
doi:10.1016/j.amjsurg.2009.06.016
更新日期:2009-10-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章
doi:10.1016/j.amjsurg.2008.05.015
更新日期:2009-06-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章
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更新日期:1998-09-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章
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更新日期:1986-10-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章
doi:10.1016/j.amjsurg.2014.02.003
更新日期:2014-08-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章
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更新日期:2011-04-01 00:00:00