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Retained surgical items after abdominal and pelvic surgery: Incidence, trend and predictors- observational study

View Article: PubMed Central - PubMed

ABSTRACT

Introduction: Surgical retained items (RSIs) are associated with increase in perioperative morbidity and mortality. We used a large national database to investigate the incidence, trends and possible predictors for RSIs after major abdominal and pelvic procedures.

Methods: The nationwide inpatient sample data were queried to identify patients who underwent major abdominal and pelvic procedures and discharged with secondary ICD-9-CM diagnosis code of (998.44 and 998.7). McNemar's tests and conditional logistic regression analyses of a 1:1 matched sample were conducted to explore possible predictive factors for RSI.

Results: RSI incidence rate was 13 in 100,000 cases-years from 2007 to 2011 after major abdominal and pelvic procedures. RSI incidence remained steady over the five-year study period. Rural hospitals and elective procedures were associated with a higher RSI incidence rate [(OR 1.391, 95% CL 1.056–1.832), p = 0.019] and [(OR 1.775, 95%CL 1.501–2.098), p < 0.001] respectively.

Conclusions: Our study was able to add more to the epidemiological perspective and the risk profile of retained surgical items in abdominal and pelvic surgery. Surgical cases associated with these factors may need further testing to rule out RSI.

No MeSH data available.


Trend of the retained surgical items rates in major operating room abdominal and pelvic procedures (from 2007 to 2011).
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fig1: Trend of the retained surgical items rates in major operating room abdominal and pelvic procedures (from 2007 to 2011).

Mentions: The Cochran-Armitage trend test revealed that the yearly incidence rate of RSI after abdominal and pelvic surgery remained steady over the five-year study period without significant change (p = 0.462) (Fig. 1). RSI incidence rates from the unmatched sample are presented in Table 1. Hospital location (urban vs. rural), hospital bedsize and hospital control and ownership was found to have no effect on the RSI rates in this unmatched sample while elective procedures, morbid obesity and teaching hospitals were found to be associated with significantly higher RSI rates (Table 1).


Retained surgical items after abdominal and pelvic surgery: Incidence, trend and predictors- observational study
Trend of the retained surgical items rates in major operating room abdominal and pelvic procedures (from 2007 to 2011).
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5121141&req=5

fig1: Trend of the retained surgical items rates in major operating room abdominal and pelvic procedures (from 2007 to 2011).
Mentions: The Cochran-Armitage trend test revealed that the yearly incidence rate of RSI after abdominal and pelvic surgery remained steady over the five-year study period without significant change (p = 0.462) (Fig. 1). RSI incidence rates from the unmatched sample are presented in Table 1. Hospital location (urban vs. rural), hospital bedsize and hospital control and ownership was found to have no effect on the RSI rates in this unmatched sample while elective procedures, morbid obesity and teaching hospitals were found to be associated with significantly higher RSI rates (Table 1).

View Article: PubMed Central - PubMed

ABSTRACT

Introduction: Surgical retained items (RSIs) are associated with increase in perioperative morbidity and mortality. We used a large national database to investigate the incidence, trends and possible predictors for RSIs after major abdominal and pelvic procedures.

Methods: The nationwide inpatient sample data were queried to identify patients who underwent major abdominal and pelvic procedures and discharged with secondary ICD-9-CM diagnosis code of (998.44 and 998.7). McNemar's tests and conditional logistic regression analyses of a 1:1 matched sample were conducted to explore possible predictive factors for RSI.

Results: RSI incidence rate was 13 in 100,000 cases-years from 2007 to 2011 after major abdominal and pelvic procedures. RSI incidence remained steady over the five-year study period. Rural hospitals and elective procedures were associated with a higher RSI incidence rate [(OR 1.391, 95% CL 1.056–1.832), p = 0.019] and [(OR 1.775, 95%CL 1.501–2.098), p < 0.001] respectively.

Conclusions: Our study was able to add more to the epidemiological perspective and the risk profile of retained surgical items in abdominal and pelvic surgery. Surgical cases associated with these factors may need further testing to rule out RSI.

No MeSH data available.