Details

Autor(en) / Beteiligte

• Glauser, Gregory
• Winter, Eric
• Caplan, Ian F.
• Haldar, Debanjan
• Goodrich, Stephen
• McClintock, Scott D.
• Guzzo, Thomas J.
• Malhotra, Neil R.

Titel

The LACE + index as a predictor of 90-day urologic surgery outcomes

Ist Teil von

• World journal of urology, 2020-11, Vol.38 (11), p.2783-2790

Ort / Verlag

Berlin/Heidelberg: Springer Berlin Heidelberg

Erscheinungsjahr

2020

Quelle

SpringerLink

Beschreibungen/Notizen

• Purpose This study assessed the ability of the LACE + [Length of stay, Acuity of admission, Charlson Comorbidity Index (CCI) score, and Emergency department visits in the past 6 months] index to predict adverse outcomes after urologic surgery. Methods LACE + scores were retrospectively calculated for all consecutive patients ( n  = 9824) who received urologic surgery at one multi-center health system over 2 years (2016–2018). Coarsened exact matching was employed to sort patient data before analysis; matching criteria included duration of surgery, BMI, and race among others. Outcomes including unplanned hospital readmission, emergency room visits, and reoperation were compared for patients with different LACE + quartiles. Results 722 patients were matched between Q1 and Q4; 1120 patients were matched between Q2 and Q4; 2550 patients were matched between Q3 and Q4. Higher LACE + score significantly predicted readmission within 90 days (90D) of discharge for Q1 vs Q4 and Q2 vs Q4. Increased LACE + score also significantly predicted 90D emergency room visits for Q1 vs Q4, Q2 vs Q4, and Q3 vs Q4. LACE + score was also significantly predictive of 90D reoperation for Q1 vs Q4. LACE + score did not predict 90D reoperation for Q2 vs Q4 or Q3 vs Q4 or 90D readmission for Q3 vs. Q4. Conclusion These results suggest that LACE + may be a suitable prediction model for important patient outcomes after urologic surgery.