Research in length of stay, early complications and treatment cost in radical cystectomy patients with different Charlson Comorbidity Index score
10.3760/cma.j.issn.1672-7088.2015.24.001
- VernacularTitle:术前查尔森合并症权重指数评分与膀胱全切患者住院时间、早期并发症及治疗费用的研究
- Author:
Danna LI
;
Mingying YANG
;
Jiansong WANG
;
Haifeng WANG
;
Qianrong YANG
;
Jiao YANG
- Publication Type:Journal Article
- Keywords:
Cystectomy;
Length of stay;
Comorbidity;
Early complication;
Cost of treatment
- From:
Chinese Journal of Practical Nursing
2015;31(24):1795-1798
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the length of stay,early complication and cost of treatment in radical cystectomy (RC) patients with different Charlson Comorbidity Index Score (CCI).Methods A prospective study of a total of 102 patients who underwent RC between March 2012 and August 2014 in Center for Research of Urology in Yunnan Province,China.They were divided into three groups:69 cases in CCI=0 or 1group,19 cases in CCI=2 group,14 cases in CCI≥3 group.Comorbidities were graded according to CCI,and each patient was followed-up for 3 months after RC.Length of stay,early complications and treatment cost were analyzed by statistics.Results A total of 102 patients were analyzed.There were obvious differences with respect to length of stay,early complication and cost of treatment comparing patients in each CCI group,H=20.722,6.025,and 7.047,P＜0.05.The incidence of diversion-related early complications in patients with different CCI showed significant difference,H=7.100,P＜0.05,however,the non diversionrelated early complications did not show significant difference between patients with different CCI,H=2.590,P＞0.05.Conclusions Patients with different CCI showed difference in the length of stay,early complication and cost of treatment in RC patients with different CCI.CCI≥3 might help to identify patients at risk for early complications after RC,especially in the orthotopic urinary diversion operation.Patients' complication should be evaluated standardized before operation and these should be included in patients' consideration.
