2016
DOI: 10.1016/j.clnesp.2016.02.017
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Abstract: Reasons for discharge delay were insufficient social support in 13 (14%), patient's preference in 39 (41%) and medical team preference in 41 (44%). In one patient extended hospitalization was due to a neurosurgical intervention. There was no difference in demographic data, rate, length and reasons for discharge delay between the retrospective and the prospective cohort. Private insurance (OR: 2.61 95%CI 1.08-6.34, p¼0.034) and patient discharged on a day other than Monday (OR: 2.94 95%CI: 1.16-7.14, p¼0.023) w… Show more

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“…Studies focusing on colorectal carcinoma have indicated that stress-inducing factors, such as autoimmune dysfunction, surgical wounds, anesthesia, and postoperative pain, can inhibit cellular immune functions in patients with malignant tumors and thereby promote tumor extension and metastasis. [3032] Thus, reducing the stress response by optimizing the intraoperative and postoperative management of patients with EC could potentially improve outcomes. Factors likely to contribute to the stress response in patients with EC undergoing open thoracotomy include relatively large surgical wounds and substantial postoperative pain.…”
Section: Discussionmentioning
confidence: 99%
“…Studies focusing on colorectal carcinoma have indicated that stress-inducing factors, such as autoimmune dysfunction, surgical wounds, anesthesia, and postoperative pain, can inhibit cellular immune functions in patients with malignant tumors and thereby promote tumor extension and metastasis. [3032] Thus, reducing the stress response by optimizing the intraoperative and postoperative management of patients with EC could potentially improve outcomes. Factors likely to contribute to the stress response in patients with EC undergoing open thoracotomy include relatively large surgical wounds and substantial postoperative pain.…”
Section: Discussionmentioning
confidence: 99%
“…ERAS protocols require a multidisciplinary team for their implementation and include shortening the perioperative fasting period, use of minimally-invasive surgical techniques, careful maintenance of fluid balance, early postoperative oral feeding and early mobilization [15,16]. Increasing evidence indicates that ERAS can shorten the duration of intensive care unit (ICU) stay and hospitalization, reduce postoperative complications and influence postoperative inflammatory cytokine levels in adults [17][18][19][20]. However, the potential benefits of ERAS on robot-assisted laparoscopic surgery in pediatric patients remain to be evaluated.…”
Section: Introductionmentioning
confidence: 99%