Cargando…

Predictive Factors for a Long Hospital Stay in Patients Undergoing Laparoscopic Cholecystectomy

Background. Although the advantages of laparoscopic cholecystectomy (LC) over open cholecystectomy are immediately obvious and appreciated, several patients need a postoperative hospital stay of more than 24 hours. Thus, the predictive factors for this longer stay need to be investigated. The aim of...

Descripción completa

Detalles Bibliográficos
Autores principales: Ko-iam, Wasana, Sandhu, Trichak, Paiboonworachat, Sahattaya, Pongchairerks, Paisal, Chotirosniramit, Anon, Chotirosniramit, Narain, Chandacham, Kamtone, Jirapongcharoenlap, Tidarat, Junrungsee, Sunhawit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5292377/
https://www.ncbi.nlm.nih.gov/pubmed/28239497
http://dx.doi.org/10.1155/2017/5497936
_version_ 1782504911009742848
author Ko-iam, Wasana
Sandhu, Trichak
Paiboonworachat, Sahattaya
Pongchairerks, Paisal
Chotirosniramit, Anon
Chotirosniramit, Narain
Chandacham, Kamtone
Jirapongcharoenlap, Tidarat
Junrungsee, Sunhawit
author_facet Ko-iam, Wasana
Sandhu, Trichak
Paiboonworachat, Sahattaya
Pongchairerks, Paisal
Chotirosniramit, Anon
Chotirosniramit, Narain
Chandacham, Kamtone
Jirapongcharoenlap, Tidarat
Junrungsee, Sunhawit
author_sort Ko-iam, Wasana
collection PubMed
description Background. Although the advantages of laparoscopic cholecystectomy (LC) over open cholecystectomy are immediately obvious and appreciated, several patients need a postoperative hospital stay of more than 24 hours. Thus, the predictive factors for this longer stay need to be investigated. The aim of this study was to identify the causes of a long hospital stay after LC. Methods. This is a retrospective cohort study with 500 successful elective LC patients being included in the analysis. Short hospital stay was defined as being discharged within 24 hours after the operation, whereas long hospital stay was defined as the need for a stay of more than 24 hours after the operation. Results. Using multivariable analysis, ten independent predictive factors were identified for a long hospital stay. These included patients with cirrhosis, patients with a history of previous acute cholecystitis, cholangitis, or pancreatitis, patients on anticoagulation with warfarin, patients with standard-pressure pneumoperitoneum, patients who had been given metoclopramide as an intraoperative antiemetic drug, patients who had been using abdominal drain, patients who had numeric rating scale for pain > 3, patients with an oral analgesia requirement > 2 doses, complications, and private ward admission. Conclusions. LC difficulties were important predictive factors for a long hospital stay, as well as medication and operative factors.
format Online
Article
Text
id pubmed-5292377
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Hindawi Publishing Corporation
record_format MEDLINE/PubMed
spelling pubmed-52923772017-02-26 Predictive Factors for a Long Hospital Stay in Patients Undergoing Laparoscopic Cholecystectomy Ko-iam, Wasana Sandhu, Trichak Paiboonworachat, Sahattaya Pongchairerks, Paisal Chotirosniramit, Anon Chotirosniramit, Narain Chandacham, Kamtone Jirapongcharoenlap, Tidarat Junrungsee, Sunhawit Int J Hepatol Research Article Background. Although the advantages of laparoscopic cholecystectomy (LC) over open cholecystectomy are immediately obvious and appreciated, several patients need a postoperative hospital stay of more than 24 hours. Thus, the predictive factors for this longer stay need to be investigated. The aim of this study was to identify the causes of a long hospital stay after LC. Methods. This is a retrospective cohort study with 500 successful elective LC patients being included in the analysis. Short hospital stay was defined as being discharged within 24 hours after the operation, whereas long hospital stay was defined as the need for a stay of more than 24 hours after the operation. Results. Using multivariable analysis, ten independent predictive factors were identified for a long hospital stay. These included patients with cirrhosis, patients with a history of previous acute cholecystitis, cholangitis, or pancreatitis, patients on anticoagulation with warfarin, patients with standard-pressure pneumoperitoneum, patients who had been given metoclopramide as an intraoperative antiemetic drug, patients who had been using abdominal drain, patients who had numeric rating scale for pain > 3, patients with an oral analgesia requirement > 2 doses, complications, and private ward admission. Conclusions. LC difficulties were important predictive factors for a long hospital stay, as well as medication and operative factors. Hindawi Publishing Corporation 2017 2017-01-23 /pmc/articles/PMC5292377/ /pubmed/28239497 http://dx.doi.org/10.1155/2017/5497936 Text en Copyright © 2017 Wasana Ko-iam et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Ko-iam, Wasana
Sandhu, Trichak
Paiboonworachat, Sahattaya
Pongchairerks, Paisal
Chotirosniramit, Anon
Chotirosniramit, Narain
Chandacham, Kamtone
Jirapongcharoenlap, Tidarat
Junrungsee, Sunhawit
Predictive Factors for a Long Hospital Stay in Patients Undergoing Laparoscopic Cholecystectomy
title Predictive Factors for a Long Hospital Stay in Patients Undergoing Laparoscopic Cholecystectomy
title_full Predictive Factors for a Long Hospital Stay in Patients Undergoing Laparoscopic Cholecystectomy
title_fullStr Predictive Factors for a Long Hospital Stay in Patients Undergoing Laparoscopic Cholecystectomy
title_full_unstemmed Predictive Factors for a Long Hospital Stay in Patients Undergoing Laparoscopic Cholecystectomy
title_short Predictive Factors for a Long Hospital Stay in Patients Undergoing Laparoscopic Cholecystectomy
title_sort predictive factors for a long hospital stay in patients undergoing laparoscopic cholecystectomy
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5292377/
https://www.ncbi.nlm.nih.gov/pubmed/28239497
http://dx.doi.org/10.1155/2017/5497936
work_keys_str_mv AT koiamwasana predictivefactorsforalonghospitalstayinpatientsundergoinglaparoscopiccholecystectomy
AT sandhutrichak predictivefactorsforalonghospitalstayinpatientsundergoinglaparoscopiccholecystectomy
AT paiboonworachatsahattaya predictivefactorsforalonghospitalstayinpatientsundergoinglaparoscopiccholecystectomy
AT pongchairerkspaisal predictivefactorsforalonghospitalstayinpatientsundergoinglaparoscopiccholecystectomy
AT chotirosniramitanon predictivefactorsforalonghospitalstayinpatientsundergoinglaparoscopiccholecystectomy
AT chotirosniramitnarain predictivefactorsforalonghospitalstayinpatientsundergoinglaparoscopiccholecystectomy
AT chandachamkamtone predictivefactorsforalonghospitalstayinpatientsundergoinglaparoscopiccholecystectomy
AT jirapongcharoenlaptidarat predictivefactorsforalonghospitalstayinpatientsundergoinglaparoscopiccholecystectomy
AT junrungseesunhawit predictivefactorsforalonghospitalstayinpatientsundergoinglaparoscopiccholecystectomy