- Prolonged air leak (PAL) after pulmonary resection significantly increased the risk for chest tube reinsertion or discharge with chest tube, 30-day readmission, and length of stay (LOS), but not cardiac complications, unexpected ICU admission, or 30-day mortality.
Why this matters
- Although previous studies showed an increased risk for these complications in patients who develop PAL, it was unclear whether they were a direct result of PAL or attributable to baseline characteristics.
- 2280 patients from the Society of Thoracic Surgeons General Thoracic Surgery Database underwent pulmonary resection for suspected lung cancer from January 2009 to June 2014.
- Funding: NIH.
- PAL incidence was 8.3%.
- After propensity score weighting, PAL was significantly associated with an increased risk for empyema (OR, 8.39; P<.001 unexpected return to the operating room los p readmission discharge with chest tube and pneumothorax reinsertion>
- PAL was not significantly associated with increased risk for cardiac complications, 30-day mortality, or unexpected ICU admission.
- Possible unmeasured confounders.