Measuring In-Hospital Recovery After Colorectal Surgery Within a Well-Established Enhanced Recovery Pathway: A Comparison Between Hospital Length of Stay and Time to Readiness for Discharge

Diseases of the Colon and Rectum
Saba BalvardiJulio F Fiore

Abstract

Hospital length of stay is often used as a measure of in-hospital recovery but may be confounded by organizational factors. Time to readiness for discharge may provide a superior index of recovery. The purpose of this study was to contribute evidence for the construct validity of time to readiness for discharge and length of stay as measures of in-hospital recovery after colorectal surgery in the context of a well-established enhanced recovery pathway. This was an observational validation study designed according to the COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) checklist. The study was conducted at a university-affiliated tertiary hospital. A total of 100 consecutive patients undergoing elective colorectal resection (mean age = 65 y; 57% men; 81% laparoscopic) who participated in a randomized controlled trial were included. We tested a priori hypotheses that length of stay and time-to-readiness for discharge are longer in patients undergoing open surgery, with lower physical status, with severe comorbidities, with postoperative complications, undergoing rectal surgery, who are older (≥75 y), who have a new stoma, and who have inflammatory bowel disease. Median time-to-readines...Continue Reading

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Citations

Jul 22, 2019·Surgical Endoscopy·Alban Zarzavadjian le BianDavid Fuks
Sep 23, 2020·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·P C MüllerC A Gutschow
Jan 9, 2020·The British Journal of Surgery·F GrassD W Larson
Nov 10, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Simone TargaCarlo V Feo
Jan 11, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Natasha G CaminskyJulio F Fiore
Oct 31, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Alban Zarzavadjian Le BianDavid Fuks
May 13, 2021·International Journal of Colorectal Disease·Thaís T T TweedJan H M B Stoot
Jun 27, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·José Gonçalves Moreira de AzevedoBruna Borba Vailati

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