MP13-12 PROLONGED OPERATIVE TIME COULD BE A USEFUL METRIC TO PREDICT POSTOPERATIVE COMPLICATION AND READMISSION RATES

Abstract

You have accessJournal of UrologyBladder Cancer: Invasive I (MP13)1 Sep 2021MP13-12 PROLONGED OPERATIVE TIME COULD BE A USEFUL METRIC TO PREDICT POSTOPERATIVE COMPLICATION AND READMISSION RATES Peter Hanna, Joseph Zabell, Badrinath Konety, and Christopher Warlick Peter HannaPeter Hanna More articles by this author , Joseph ZabellJoseph Zabell More articles by this author , Badrinath KonetyBadrinath Konety More articles by this author , and Christopher WarlickChristopher Warlick More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001994.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Radical cystectomy is a complex lengthy procedure associated with postoperative morbidities. Operative duration has been evaluated as a potentially modifiable risk factor for postoperative complications. We assess the operative time in patients undergoing radical cystectomy and its impact on 90-day postoperative complications and readmission rates. METHODS: Retrospective cohort study including 296 patients undergoing radical cystectomy and urinary diversion from 2010 to 2018 in our institution. Operative time 369 minutes was set as a cutoff value between short and long operative time groups. Primary outcome was 90-day postoperative complication rates. Secondary outcomes were gastrointestinal recovery time, length of hospital stay (LOS), and 90-day readmission rates. RESULTS: The overall incidence of 90-day postoperative complications was 80.4% where 63.2% representing minor complications, and 36.8% representing major complications. GIT and infectious complications are the most common complications in our data set (45.9%, 45.6%, respectively). On multivariable analysis, prolonged operative time was significantly associated with odds of high-grade complications (OR 2.340, 95% CI 1.288-4.250, p=0.005) even with adjusted other variables (table 1). A higher incidence of major complications was identified in the long operative time group 69 (42.6%) compared to 40 (30.5 %) in the short operative time group (p=0.034). Though, a shorter GIT recovery time was noticed in the short operative time group (p=0.026), no differences in LOS between both groups. Prolonged operative time was associated with a higher 90-day readmission rate on univariate and multivariate analysis (p=0.001, p<0.0001, respectively). CONCLUSIONS: Prolonged operative time (> 369 min.) is associated with an increased risk of postoperative complications and readmission rates. Optimization of operative time could translate into better operative outcomes. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e248-e248 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Peter Hanna More articles by this author Joseph Zabell More articles by this author Badrinath Konety More articles by this author Christopher Warlick More articles by this author Expand All Advertisement Loading ...