Background and perioperative risk factors for prolonged hospital stay after resection of colorectal cancer

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.

Time to Readiness for Discharge is a Valid and Reliable Measure of Short‐Term Recovery After Colorectal Surgery

“…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.…”

Preoperative Intensive, Community-Based vs. Traditional Stoma Education: A Randomized, Controlled Trial

“…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.…”

Effects of Allogeneic Red Blood Cell Transfusions on Clinical Outcomes in Patients Undergoing Colorectal Cancer Surgery

“…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.…”