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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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2017
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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 |
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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 |
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