XXXX after major abdominal surgery: National Surgical Quality Improvement Program analysis.

@entity1 @entity55 @entity1457 @entity260 @entity358 @entity1030
BACKGROUND: @entity260 ( @entity260 ) after major abdominal surgery are common and associated with significant morbidity and high cost of care. The objective of this study was to identify the risk factors for @entity260 after major abdominal surgery. MATERIALS AND METHODS: The American College of Surgeons' National Surgical Quality Improvement Program database from 2005-2012 was queried for @entity1 who underwent major abdominal surgery (esophagectomy, gastrectomy, pacnreatectomy, enterectomy, hepatectomy, colectomy, and proctectomy). Predictors of @entity260 were identified using multivariate logistic regression. RESULTS: Of 165,196 @entity1 who underwent major abdominal surgery 9595 (5.8%) suffered @entity260 ( @entity55 3.2%, prolonged ventilator support >= 48  h 3.0%, and unplanned intubation 2.8%). On multivariate analysis, significant predictors of overall and individual @entity260 include esophagectomy, advanced American Society of Anesthesiology Classification System, dependent functional status, prolonged operative time, age >= 80  y, severe @entity1030 , @entity1457 , ascites, and smoking. Obesity was not a risk factor. Female gender was overall protective for @entity260 . CONCLUSIONS: @entity260 after abdominal procedures are associated with a number of clinical variables. Esophageal operations and American Society of Anesthesiology Classification System were the strongest predictors. These results provide a framework for identifying @entity1 at risk for developing @entity358 after major abdominal surgery.
