Fast-Track Program for Liver Resection - Factors Prolonging Length of Stay
Blind, Per-Jonas LU ; Andersson, Bodil LU
; Tingstedt, Bobby
LU
; Bergenfeldt, Magnus
LU
; Andersson, Roland
LU
; Lindell, Gert
LU
and Sturesson, Christian
LU
(2014)
In Hepato-Gastroenterology
61(136).
p.2340-2344
- Abstract
- Background/Aims: Fast-track programs involving multi-modal measures to enhance recovery after surgery, reduce morbidity and decrease hospital length of stay (LOS) are used for different major surgical procedures. For liver resections, factors influencing LOS within a fast-track program have been studied only to a limited extent, which was the aim of the present study. Methodology: The present study comprises the first 64 patients included in a fast-track program for liver resections introduced in March 2012. Patient outcomes were compared to a historical cohort of patients (n=62) operated in 2009. Factors prolonging LOS was analyzed by uni- and multivariate analysis. Results: Median LOS was 6 days (range 3-42 days) within the fast-track... (More)
- Background/Aims: Fast-track programs involving multi-modal measures to enhance recovery after surgery, reduce morbidity and decrease hospital length of stay (LOS) are used for different major surgical procedures. For liver resections, factors influencing LOS within a fast-track program have been studied only to a limited extent, which was the aim of the present study. Methodology: The present study comprises the first 64 patients included in a fast-track program for liver resections introduced in March 2012. Patient outcomes were compared to a historical cohort of patients (n=62) operated in 2009. Factors prolonging LOS was analyzed by uni- and multivariate analysis. Results: Median LOS was 6 days (range 3-42 days) within the fast-track program as compared with 8 days (range 5-47 days) in the historical cohort (P=0.004). On multivariate analysis, factors increasing LOS in the fast-track group were found to be the presence of complication (P=0.018), extent of resection (major as compared to minor) (P=0.001) and inability to drink > 1250 ml on the day after surgery (P=0.002). Conclusion: Patients who can only drink limited amounts of fluid the day after-liver resection represent a subset of patients that should be given special attention within a fast-track program. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/4944768
- author
- Blind, Per-Jonas
LU
; Andersson, Bodil
LU
; Tingstedt, Bobby
LU
; Bergenfeldt, Magnus
LU
; Andersson, Roland
LU
; Lindell, Gert
LU
and Sturesson, Christian
LU
- organization
- publishing date
- 2014
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Liver resection, Fast track, Length of stay, Morbidity, Complications
- in
- Hepato-Gastroenterology
- volume
- 61
- issue
- 136
- pages
- 2340 - 2344
- publisher
- Georg Thieme Verlag
- external identifiers
-
- wos:000346326500039
- scopus:84921716948
- ISSN
- 0172-6390
- language
- English
- LU publication?
- yes
- id
- ed85591c-b60a-432c-aa2e-7c2dc9ae316b (old id 4944768)
- date added to LUP
- 2016-04-01 13:14:16
- date last changed
- 2022-02-26 20:02:00
@article{ed85591c-b60a-432c-aa2e-7c2dc9ae316b,
abstract = {{Background/Aims: Fast-track programs involving multi-modal measures to enhance recovery after surgery, reduce morbidity and decrease hospital length of stay (LOS) are used for different major surgical procedures. For liver resections, factors influencing LOS within a fast-track program have been studied only to a limited extent, which was the aim of the present study. Methodology: The present study comprises the first 64 patients included in a fast-track program for liver resections introduced in March 2012. Patient outcomes were compared to a historical cohort of patients (n=62) operated in 2009. Factors prolonging LOS was analyzed by uni- and multivariate analysis. Results: Median LOS was 6 days (range 3-42 days) within the fast-track program as compared with 8 days (range 5-47 days) in the historical cohort (P=0.004). On multivariate analysis, factors increasing LOS in the fast-track group were found to be the presence of complication (P=0.018), extent of resection (major as compared to minor) (P=0.001) and inability to drink > 1250 ml on the day after surgery (P=0.002). Conclusion: Patients who can only drink limited amounts of fluid the day after-liver resection represent a subset of patients that should be given special attention within a fast-track program.}},
author = {{Blind, Per-Jonas and Andersson, Bodil and Tingstedt, Bobby and Bergenfeldt, Magnus and Andersson, Roland and Lindell, Gert and Sturesson, Christian}},
issn = {{0172-6390}},
keywords = {{Liver resection; Fast track; Length of stay; Morbidity; Complications}},
language = {{eng}},
number = {{136}},
pages = {{2340--2344}},
publisher = {{Georg Thieme Verlag}},
series = {{Hepato-Gastroenterology}},
title = {{Fast-Track Program for Liver Resection - Factors Prolonging Length of Stay}},
volume = {{61}},
year = {{2014}},
}