Implications of postoperative pulmonary aspiration following major urologic surgery
Eric J. Kirshenbaum1,2, Robert H. Blackwell1,2, Belinda Li1, Anai N. Kothari2,3, Paul C. Kuo2,3, Robert C. Flanigan1, Alex Gorbonos1, Gopal N. Gupta1,2
Canadian Journal of Urology, Vol.25, No.1, pp. 9186-9192, 2018
Abstract Introduction: The purpose of this article is to assess the incidence of pulmonary aspiration following major urologic surgery, identify predictors of an aspiration event, and evaluate subsequent clinical outcomes.
Materials and methods: The Healthcare Cost and Utilization Project State Inpatient Database for California (2007–2011) was used to identify patients undergoing cystectomy, prostatectomy, partial nephrectomy, and radical nephrectomy. Aspiration events were identified within 30 days post-surgery. The primary outcome was 30-day mortality; secondary outcomes included total length of hospital stay, discharge location, and diagnoses of acute renal failure, pneumonia, or sepsis. Descriptive statistics were performed. A multivariable logistic… More >