In‐hospital mortality and failure‐to‐rescue rates after radical cystectomy

摘要: Objective To show the underlying variability in peri-operative mortality after radical cystectomy (RC) by analysing failure-to-rescue (FTR) rates, i.e. deaths complications. Materials and Methods Patients undergoing RC for non-metastatic bladder cancer (BCa) were identified from Nationwide Inpatient Sample, 1999–2009, resulting a weighted estimate of 79 972 patients. The FTR rates assessed according to patient hospital characteristics, as well complication type. Generalized linear regression analyses performed. Results Overall, 26 740 patients had complication, corresponding rate 5.5%. Septicaemia (odds ratio [OR]: 13.41, P < 0.001) cardiac (OR: 3.97, 0.001), wound-related 2.12, genitourinary 1.62, = 0.045) haematological 1.78, 0.008) complications associated with FTR. Older age 1.05, increasing comorbidities 1.33, Medicare 1.52, 0.016), Medicaid insurance status 2.10, 0.029) higher odds FTR. Conversely, volume 0.992, 0.014) reduced FTR. Conclusions Whereas both characteristics increased FTR, occurrence septicaemia most strongly risk in-hospital mortality.