کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4278976 1611502 2014 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Actual versus estimated length of stay after colorectal surgery: which factors influence a deviation?
ترجمه فارسی عنوان
طول عمر باقیمانده بعد از عمل جراحی کولورکتال چیست: عوامل موثر بر انحراف؟
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundThe aim of this study was to determine factors associated with deviation in length of hospital stay (LOS) from that determined by diagnosis-related groups.MethodsA cohort study from a prospectively collected database was conducted, including consecutive patients undergoing surgery in a high-volume colorectal surgery department in 2009.ResultsFor 1,461 included patients, average expected and actual LOS were 8.17 days (interquartile range, 4.7 to 11.9 days) and 8.31 days (interquartile range, 4 to 10 days), respectively. The most prominent factors associated with an increase of LOS from expected were parenteral nutrition (5.11 days), emergency room admittance (3.67 days), and ileus (3.45 days) (P ≤ .001 for all). Other independently associated factors included blood transfusion, anastomotic leak, sepsis, pulmonary embolism, and surgeon. Patients with higher severity illness indexes and longer postoperative intensive care stay had lower than expected LOS.ConclusionsAfter colorectal surgery, several modifiable factors are associated with deviation of LOS from expected. An opportunity hence exists to reduce both LOS and financial burden for hospitals in an era of pay for performance.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 208, Issue 4, October 2014, Pages 663–669
نویسندگان
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