Skip to main content

Table 5 Multivariable-adjusted outcomes, Ethicon powered and Medtronic manual post hoc subanalysis

From: Impact of Powered and Tissue-Specific Endoscopic Stapling Technology on Clinical and Economic Outcomes of Video-Assisted Thoracic Surgery Lobectomy Procedures: A Retrospective, Observational Study

Outcome Adjusted outcomesa P % difference (Ethicon powered − Medtronic manual) (%)
Ethicon powered staplers, n = 655 Medtronic manual staplers, n = 2351
Hospital LOS 4.89 5.66 0.037 − 13.6
Total hospital costs $23,785 $26,180 0.008 − 9.1
 Supply cost $5021 $5989 0.016 − 16.2
 Room and board cost $6792 $7984 0.039 − 14.9
 Operating room cost $7032 $7225 0.646 − 2.7
Discharge to non-homeb 9.0% 7.6% 0.476 17.4
Operating room timec 278 302 0.090 − 7.9
In-hospital complications
 Bleeding/transfusion 8.2% 13.9% 0.022 − 40.7
 Transfusion 4.7% 9.3% 0.018 − 49.8
 APHA 4.9% 6.1% 0.469 − 20.2
 Air leak complicationsd 24.3% 24.2% 0.972 0.5
 Pneumonia 3.9% 3.6% 0.782 9.8
 Infection 4.5% 4.0% 0.689 13.6
All-cause readmissione
 ≤ 30 days 3.0% 4.2% 0.317 − 28.0
 ≤ 60 days 5.2% 7.3% 0.176 − 28.4
 ≤ 90 days 7.4% 9.8% 0.187 − 24.8
Chronic obstructive pulmonary disease subgroup analysesf
 Bleeding/transfusion 8.0% 15.9% 0.025 − 49.8
 Transfusion 5.4% 11.2% 0.044 − 51.9
 APHA 3.7% 7.2% 0.177 − 48.3
  1. APHA acute posthemorrhagic anemia, LOS length of stay
  2. aRecycled prediction method; The following outcome models had questionable fit due to estimated G matrix not positive definite: all-cause readmission at 30, 60, and 90 days; pneumonia; infection
  3. bDischarge to a non-home setting (e.g., skilled nursing facility, intermediate care facility) vs. discharge to home with or without home healthcare
  4. cIn minutes; n with operating room time data = 538 powered; 2190 manual; operating room time values trimmed to fall between 30 min and 24 h
  5. dComposite of air leak and/or pneumothorax
  6. e30-, 60-, and 90-day all-cause readmissions to the hospital in which the VATS lobectomy procedure was performed; N with hospital-level follow-up data for at least 30 days = 620 Ethicon powered; 2279 Medtronic manual; for at least 60 days = 577 Ethicon powered; 2210 Medtronic manual; for at least 90 days = 541 Ethicon powered; 2144 Medtronic manual
  7. fComprising chronic obstructive pulmonary disease and allied disorders, according to the ICD-9-CM/ICD-10-CM taxonomies; n = 323 powered; 1020 manual