Table 4:
Clinical Characteristics for High-Magnitude Casesb, based on Recovery Protocol
| Factor | Total n=1022 |
Traditional n=651 (64) |
Enhanced Recovery n=371 (36) |
p value |
|---|---|---|---|---|
| Superficial incisional SSI | 51 (5) | 36 (6) | 15 (4) | 0.294 |
| Deep incisional SSI | 10 (1) | 8 (1) | 2 (0.54) | 0.281 |
| Organ space infection | 61 (6) | 38 (6) | 23 (6) | 0.814 |
| Wound disruption/dehiscence | 24 (2) | 16 (2) | 8 (2) | 0.760 |
| Pneumonia | 29 (3) | 19 (3) | 10 (3) | 0.836 |
| Mechanical ventilation >48 hrs | 8 (1) | 6 (1) | 2 (1) | 0.718 |
| Urinary tract infection | 48 (5) | 35 (5) | 13 (4) | 0.174 |
| Transfusion ≤72 hrs of OR | 305 (30) | 214 (33) | 91 (25) | 0.005 |
| Sepsis | 24 (2) | 17 (3) | 7 (2) | 0.462 |
| Unplanned return to OR | 45 (4) | 31 (5) | 24 (5) | 0.459 |
| Any complication | 416 (41) | 288 (44) | 128 (35) | 0.002 |
| Any severe complicationa | 136 (13) | 90 (14) | 46 (12) | 0.519 |
| LOS, days, median (IQR) | 6 (4–8) | 6 (5–8) | 5 (3–7) | <0.0001 |
| Mortality ≤30 days | 3 (0.29) | 3 (0.46) | 0 (0) | 0.558 |
| Readmission ≤30 days | 130 (13) | 78 (12) | 52 (14) | 0.348 |
SSI: surgical site infection; OR: operating room; IQR: interquartile range; LOS: length of stay
b
Defined as RVU >30
a
Severe complications include: organ space infection, wound disruption/dehiscence, pneumonia, unplanned intubation, acute renal failure, myocardial infarction, sepsis, septic shock, unplanned return to OR