Abstract:Together these factors accounted for only a fifth of the variability in length of stay and few, except possibly ASA, were susceptible of interventions that might reduce stay. Postoperative morbidity, which is largely unpredictable, remains the major cause of prolonged hospital stay.
“…In previous literature, this difference varied from 0 to 3 days [5,[7][8][9][10][11][12] Differences in discharge criteria and health care environments may be the reason for this variation. Our results are also in agreement with previous research suggesting that patients undergoing open [26] or emergency [27,28] surgery, with high ASA scores [29][30][31], or who develop postoperative complications [29,30] have slower short-term recovery.…”
The results of this research support the construct-validity and reliability of TRD as a measure of short-term recovery. Using TRD as an alternative to LOS may reduce sample size requirements in future RCTs.
“…In previous literature, this difference varied from 0 to 3 days [5,[7][8][9][10][11][12] Differences in discharge criteria and health care environments may be the reason for this variation. Our results are also in agreement with previous research suggesting that patients undergoing open [26] or emergency [27,28] surgery, with high ASA scores [29][30][31], or who develop postoperative complications [29,30] have slower short-term recovery.…”
The results of this research support the construct-validity and reliability of TRD as a measure of short-term recovery. Using TRD as an alternative to LOS may reduce sample size requirements in future RCTs.
“…This finding correlates with a study of 1,095 patients with resections for colorectal cancer in which the creation of a stoma added a little over two days to their postoperative hospital stay. 7 The same study also identified perioperative transfusion, tumor involvement of adjacent structure, peripheral vascular disease, age over 75 years, and respiratory disease as other factors that prolonged hospital stay. However, none of these factors may be as susceptible to simple interventions that would result in accelerated discharge.…”
Stoma education is more effective if undertaken in the preoperative setting. It results in shorter times to stoma proficiency and earlier discharge from the hospital. It also reduces stoma-related interventions in the community and has no adverse effects on patient well-being.
“…26,29,54,55 This included 2327 patients, and the length of stay was significantly longer in transfused compared to nontransfused patients (17.8 ± 4.8 vs 13.9 ± 4.7 days, P = 0.005). Table 3 shows the result of the stratified IRR meta-analysis for all-cause mortality.…”
In patients with colorectal cancer (CRC) undergoing surgery, ABTs are associated with adverse clinical outcomes, including increased mortality. Measures aimed at limiting the use of ABTs should be investigated further.
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