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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)
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author
organization
publishing date
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
DOI
10.5754/hge13687
language
English
LU publication?
yes
id
ed85591c-b60a-432c-aa2e-7c2dc9ae316b (old id 4944768)
date added to LUP
2015-02-03 07:06:14
date last changed
2017-09-10 03:58:01
@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},
  keyword      = {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},
  url          = {http://dx.doi.org/10.5754/hge13687},
  volume       = {61},
  year         = {2014},
}