HPB : the official journal of the International Hepato Pancreato Biliary Association · 2026
Incidence, timing, risk factors, and outcomes of unplanned reintubation after liver and pancreatic resection.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Alizai Qaidar, Chatzipanagiotou Odysseas P, Mevawalla Areesh, Angez Meher, Elemosho Abdulaziz, Ejaz Rida, Pawlik Timothy M
Аннотация
BACKGROUND: Unplanned postoperative reintubation (UPR) may be associated with subsequent complications and increased mortality. We sought to characterize risk factors and outcomes associated with UPR after liver or pancreatic resections.
METHODS: Adult patients who underwent elective liver or pancreatic surgery were identified in the National Surgical Quality Improvement Project Database (2014-2021). Univariate and multivariable regression analyses were conducted.
RESULTS: Among 85,077 patients (liver = 34,892, pancreas = 50,185), 2.3 % (n = 1929) individuals required UPR with a median time to reintubation of 5 days (IQR 2-10). On multivariable regression, risk factors associated with UPR after liver resection included age ≥80 years (aOR = 4.24, 95%CI [2.81-6.38]) and total right lobectomy (aOR = 1.69, 95%CI [1.35-2.13]) while in the pancreatic surgery cohort, the risk factors included Whipple procedure (aOR = 1.64, 95%CI [1.40-1.92]) and pancreatic fistula (aOR = 2.50, 95%CI [2.11-2.97]). UPR was strongly associated with longer LOS (Liver∼+8.00 days; Pancreas∼+6.33 days) and 30-day mortality (aOR, Liver = 38.26; Pancreas = 17.38).
CONCLUSION: UPR occurred in ∼2 % of patients after liver and pancreatic resection. Risk factors and outcomes differed by organ, but UPR consistently marked severe postoperative deterioration substantially high mortality.
METHODS: Adult patients who underwent elective liver or pancreatic surgery were identified in the National Surgical Quality Improvement Project Database (2014-2021). Univariate and multivariable regression analyses were conducted.
RESULTS: Among 85,077 patients (liver = 34,892, pancreas = 50,185), 2.3 % (n = 1929) individuals required UPR with a median time to reintubation of 5 days (IQR 2-10). On multivariable regression, risk factors associated with UPR after liver resection included age ≥80 years (aOR = 4.24, 95%CI [2.81-6.38]) and total right lobectomy (aOR = 1.69, 95%CI [1.35-2.13]) while in the pancreatic surgery cohort, the risk factors included Whipple procedure (aOR = 1.64, 95%CI [1.40-1.92]) and pancreatic fistula (aOR = 2.50, 95%CI [2.11-2.97]). UPR was strongly associated with longer LOS (Liver∼+8.00 days; Pancreas∼+6.33 days) and 30-day mortality (aOR, Liver = 38.26; Pancreas = 17.38).
CONCLUSION: UPR occurred in ∼2 % of patients after liver and pancreatic resection. Risk factors and outcomes differed by organ, but UPR consistently marked severe postoperative deterioration substantially high mortality.