Prospective Evaluation of Discharge Trends after Colorectal Surgery within an Enhanced Recovery after Surgery Pathway.

Details

Serval ID
serval:BIB_46EB44862024
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Prospective Evaluation of Discharge Trends after Colorectal Surgery within an Enhanced Recovery after Surgery Pathway.
Journal
Digestive surgery
Author(s)
Slieker J.C., Clerc D., Hahnloser D., Demartines N., Hübner M.
ISSN
1421-9883 (Electronic)
ISSN-L
0253-4886
Publication state
Published
Issued date
2017
Peer-reviewed
Oui
Volume
34
Number
4
Pages
298-304
Language
english
Notes
Publication types: Journal Article ; Observational Study
Publication Status: ppublish
Abstract
Enhanced recovery after surgery (ERAS) pathways proved to reduce complications, length of hospital stay and costs after colorectal surgery. Standardized discharge criteria have been established that are fulfilled after complete medical recovery is achieved. This study aimed to assess the timing of complete medical recovery in relation to the timing of actual discharge, and to assess reasons for prolonged hospital stay within an ERAS pathway.
One hundred fourteen consecutive patients undergoing elective colorectal surgery within an ERAS pathway were included in this prospective analysis. Fulfillment of discharge criteria was assessed daily and reasons for prolonged hospital stay were documented.
Thirty percent of patients went home on the day that all discharge criteria were met. Overall, patients were discharged at a median of 2 days (interquartile range 1-3) after fulfillment of discharge criteria. Reasons for delayed discharge were (1) organizational in 20%; (2) patient or surgeon unwilling in 29%; and (3) because the patient was deemed to be discharged too soon distance from the operation in 51%.
In this observational study, only 30% of patients were discharged on the day all recovery criteria were met. The main reason for continued hospitalization was surgeon- or patient-related reluctance or 'precaution'; thus, better and more of general information seems to be necessary.

Keywords
Aged, Clinical Decision-Making, Colectomy, Elective Surgical Procedures, Female, Humans, Length of Stay, Male, Patient Acceptance of Health Care, Patient Discharge/trends, Postoperative Care, Prospective Studies, Rectum/surgery, Colorectal surgery, Discharge, Enhanced recovery after surgery, Postoperative recovery
Pubmed
Web of science
Create date
22/12/2016 12:26
Last modification date
20/08/2019 14:52
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