Influences on length of stay in an enhanced recovery programme after colonic surgery

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
A A KahokehrA G Hill

Abstract

Enhanced recovery after surgery (ERAS) programmes have been shown to accelerate and enhance functional recovery after colonic surgery. We analysed prospectively collected data to investigate potentially modifiable factors that may influence the length of stay (LOS) in the ERAS setting at a single institution. Between October 2005 and November 2008, prospective data were collected on consecutive patients who underwent elective colonic surgery without a stoma. Patients with rectal cancer, those unable to participate in preoperative ERAS components because of their inability to communicate effectively in English, those with cognitive impairment and those with an American Society of Anesthesiologists (ASA) grade of ≥ 4 were excluded. Statistical analyses were performed using the Mann-Whitney U-test and Cox regression modelling. A total of 100 (79 malignancies) patients underwent elective colon resection during the study period. There were 57 right-sided, 41 left-sided and two total colectomies. The median age of the patients was 67.5 (range 31-92) years and the median day stay was 4 (range 3-46) days. Factors with significant correlations for reduced LOS were female gender, the surgeon, operative severity, high-dependency unit (HDU...Continue Reading

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Citations

May 31, 2012·International Journal of Colorectal Disease·Antonio ArroyoUNKNOWN Spanish Working Group in Fast Track Surgery (GERM)
May 19, 2012·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·N J SmartN K Francis
Feb 2, 2012·World Journal of Gastroenterology : WJG·Gianpiero Gravante, Muhammad Elmussareh
Jan 8, 2013·World Journal of Gastrointestinal Surgery·Gianpiero Gravante, Muhammad Elmussareh
Feb 14, 2016·Medical Oncology·Michał PędziwiatrOlle Ljungqvist
Feb 11, 2015·Journal of Visceral Surgery·B GignouxT Lanz
Jul 22, 2014·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·N M BagnallA Darzi
Dec 30, 2017·Nursing Management·Deborah J Watson
Oct 12, 2018·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Gretchen GlaserAbraham Peedicayil
May 17, 2019·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J van DellenA B Williams
Jul 10, 2020·Langenbeck's Archives of Surgery·Dedrick Kok Hong ChanDaryl Kai Ann Chia

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