Dr Jillian Smith and colleagues from the USA conducted a retrospective observational study of the Nationwide Inpatient Sample between 1998 and 2003.
The research team evaluated 13,354 patient discharges who underwent gastric resection for neoplasm.
The team's main outcome was in-hospital mortality.
|In-hospital mortality for patients undergoing surgery was 6%|
|Archives of Surgery|
The researchers performed univariate analyses by means of 2 tests.
The research team performed a multivariate logistic regression to determine which variables were independently predictive of in-hospital mortality.
The researchers assessed 50,738 patients who were discharged with the diagnosis of gastric neoplasm.
Of those patients, 26% underwent gastric resection during their hospitalization.
The team found that in-hospital mortality for patients undergoing surgery was 6%, without significant change from 1998 through 2003.
The researchers identified factors predictive of increased in-hospital mortality.
The team observed that low annual hospital surgical volume, older patient age, male sex, and procedure type increased in-hospital mortality.
Dr Smith's team concluded, “Higher annual surgical volume is predictive of lower in-hospital mortality for patients undergoing gastric resection for neoplasm.”
“Other factors significantly associated with superior outcomes after gastric resection included diagnosis type, procedure type, younger age, female sex, and fewer comorbid conditions.”