Factors Affecting the Length of Hospital Days After Laparoscopic Gastrectomy for Elderly Patients with Gastric Cancer

Amari, Takashi; Hirukawa, Chisa; Fukuda, T; Hidaka, Yuka; Makita, Yukiho; Fukuda, Kyosuke; Sakamoto, Yuta; Kimura, Masami; Yamaguchi, Kenichiro

doi:10.1007/s12029-021-00633-x

Cited by 2 publications

(6 citation statements)

References 19 publications

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“…We demonstrated for the first time that not only the operative time and complications but also the time to ambulation are related to the hospital length of stay. The association between delayed time to ambulation (>1 day) and hospital length of stay has been shown previously [4,21]. Some previous studies have reported that comprehensive interventions, including walking, prevent complications and reduce the number of days in the hospital [22,23].…”

Section: Discussionmentioning

confidence: 81%

“…This suggests that early initiation of ambulation, as proposed by the ERAS protocol, can shorten the hospital length of stay for patients who have undergone abdominal surgery. Although the participants in this study were able to independently perform activities of daily living, their preoperative physical function [4] may have influenced the initiation of ambulation; however, the preoperative physical function was not considered during this study.…”

Section: Discussionmentioning

confidence: 99%

“…Postoperative complications were defined as complications that required treatment. Preoperative vital capacity (%VC) is a pulmonary function used to assess the risk of complications before surgery during the perioperative period [4]. Previous studies have reported that %VC is associated with the hospital length of stay.…”

Section: Methodsmentioning

confidence: 99%

“…However, there is no consensus regarding which mobilization technique is most effective [3]. One study has shown that the length of time before walking independently (time to ambulation) is important to early mobilization, which can affect the hospital length of stay [4]. Therefore, it is necessary to consider ambulation as a mobilization technique that can prevent disuse syndrome.…”

Section: Introductionmentioning

confidence: 99%

“…A study of patients who underwent minimally invasive surgery for gastric cancer found that respiratory function and time to ambulatory independence were factors that affect the hospital length of stay [4]. In the case of surgery, such as pancreaticoduodenectomy and hepatectomy, early ambulation on postsurgical day 1 is recommended; however, the level of evidence is low [12].…”

Section: Introductionmentioning

confidence: 99%

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Early Ambulation Shortened the Length of Hospital Stay in ICU Patients after Abdominal Surgery

Amari,

Matta,

Makita

et al. 2023

Clinics and Practice

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The optimal time to ambulation remains unclear for intensive care unit (ICU) patients following abdominal surgery. While previous studies have explored various mobilization techniques, a direct comparison between ambulation and other early mobilization methods is lacking. Additionally, the impact of time to ambulation on complications and disuse syndrome prevention requires further investigation. This study aimed to identify the optimal time to ambulation for ICU patients after abdominal surgery and considered its potential influence on complications and disuse syndrome. We examined the relationship between time to ambulation and hospital length of stay (LOS). Patients were categorized into the nondelayed (discharge within the protocol time) and delayed (discharge later than expected) groups. Data regarding preoperative functioning, postoperative complications, and time to discharge were retrospectively collected and analyzed. Of the 274 postsurgical patients managed in the ICU at our hospital between 2018 and 2020, 188 were included. Time to ambulation was a significant prognostic factor for both groups, even after adjusting for operative time and complications. The area under the curve was 0.72, and the cutoff value for time to ambulation was 22 h (sensitivity, 68%; specificity, 77%). A correlation between time to ambulation and complications was observed, with both impacting the hospital LOS (model 1: p < 0.01, r = 0.22; model 2: p < 0.01, r = 0.29). Specific cutoff values for time to ambulation will contribute to better surgical protocols.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Early Ambulation Shortened the Length of Hospital Stay in ICU Patients after Abdominal Surgery

Amari,

Matta,

Makita

et al. 2023

Clinics and Practice

Self Cite

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Foreseeing everyday life for older postoperative patients with gastrointestinal cancer: a constructivist grounded theory

Horibe¹

2023

Gastrointestinal Nursing

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Background: With the rapid ageing of societies worldwide, the number of older individuals diagnosed with gastrointestinal cancer is expected to increase. Aims: This study aimed to describe nursing practices foreseeing everyday life after discharge in older patients following resection for gastrointestinal cancer. Methods: Data were collected using participant observation and semi-structured interviews and analysed using Charmaz's grounded theory method. Categories and subcategories were constructed using theoretical sampling until theoretical sufficiency was reached. Findings: Overall, 19 nurses (16 women and three men) and two patients (one man in his 80s and one woman in her 70s) were included. The following three categories were constructed: ‘establishing everyday foundation,’ ‘maintaining the rhythm,’ and ‘foreseeing a new everyday life,’ which were further divided into subcategories. Conclusion: The nursing practice identified here describes the process of encouraging older patients to incorporate physical changes while maximising their independent activities following resection of gastrointestinal cancer.

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Factors Affecting the Length of Hospital Days After Laparoscopic Gastrectomy for Elderly Patients with Gastric Cancer

Cited by 2 publications

References 19 publications

Early Ambulation Shortened the Length of Hospital Stay in ICU Patients after Abdominal Surgery

Early Ambulation Shortened the Length of Hospital Stay in ICU Patients after Abdominal Surgery

Foreseeing everyday life for older postoperative patients with gastrointestinal cancer: a constructivist grounded theory

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