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The patient perspective of same day discharge colectomy: one hundred patients surveyed on their experience following colon surgery

INTRODUCTION: Guided by enhanced recovery after surgery protocols and coerced by constraints of the Coronavirus Disease 2019, the concept of same day discharge (SDD) after colon surgery is becoming a topic of great interest. Although only a few literature sources are published on the topic and proto...

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Autores principales: Curfman, Karleigh R., Blair, Gabrielle E., Pille, Sunshine A., Kosnik, Callan L., Rashidi, Laila
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9296012/
https://www.ncbi.nlm.nih.gov/pubmed/35854124
http://dx.doi.org/10.1007/s00464-022-09446-w
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author Curfman, Karleigh R.
Blair, Gabrielle E.
Pille, Sunshine A.
Kosnik, Callan L.
Rashidi, Laila
author_facet Curfman, Karleigh R.
Blair, Gabrielle E.
Pille, Sunshine A.
Kosnik, Callan L.
Rashidi, Laila
author_sort Curfman, Karleigh R.
collection PubMed
description INTRODUCTION: Guided by enhanced recovery after surgery protocols and coerced by constraints of the Coronavirus Disease 2019, the concept of same day discharge (SDD) after colon surgery is becoming a topic of great interest. Although only a few literature sources are published on the topic and protocols, the number of centers interested in SDD is increasing. With the small number of sources on protocol, safety, implementation, and criteria, there has yet to be a review of the patient experience and satisfaction. METHODS: Our institution has one of the largest American databases of SDD colon surgery. We performed a retrospective patient survey assessing perception of their surgical experience and satisfaction, which analyzed patients from February 2019 to January 2022. Fifty SDD patients were selected for participation, as well as fifty patients who were discharged on postoperative day 1 (POD1). An eleven-question survey was offered to patients and responses recorded. RESULTS: One hundred patients were contacted, 50 SDD and 50 POD1. Of the SDD patients, 41/50 (82%) patients participated in the survey, while 23/50 (46%) of POD1 patients participated. The highest average response in both populations was an understanding of patient postoperative mobility instructions (9.27/10, 9.68/10). The lowest average response in the SDD population was family comfort with discharge (8.17/10), while patient comfort with discharge was lowest in the POD1 group, (8.56/10). Importantly, we observed that 85.37% of patients who underwent SDD would do so again if given the opportunity. The only statistically significant variable was a difference in comfort with postoperative pain control, favoring the POD1 group, p = 0.02. CONCLUSIONS: SDD colon surgery is a feasible and reproducible option. Only comfort with postoperative pain control found a statistical difference, which we intend to improve upon with postanesthesia care unit education. Of patients reviewed who underwent SDD, most patients enjoyed their experience and would undergo SDD again.
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spelling pubmed-92960122022-07-20 The patient perspective of same day discharge colectomy: one hundred patients surveyed on their experience following colon surgery Curfman, Karleigh R. Blair, Gabrielle E. Pille, Sunshine A. Kosnik, Callan L. Rashidi, Laila Surg Endosc Original Article INTRODUCTION: Guided by enhanced recovery after surgery protocols and coerced by constraints of the Coronavirus Disease 2019, the concept of same day discharge (SDD) after colon surgery is becoming a topic of great interest. Although only a few literature sources are published on the topic and protocols, the number of centers interested in SDD is increasing. With the small number of sources on protocol, safety, implementation, and criteria, there has yet to be a review of the patient experience and satisfaction. METHODS: Our institution has one of the largest American databases of SDD colon surgery. We performed a retrospective patient survey assessing perception of their surgical experience and satisfaction, which analyzed patients from February 2019 to January 2022. Fifty SDD patients were selected for participation, as well as fifty patients who were discharged on postoperative day 1 (POD1). An eleven-question survey was offered to patients and responses recorded. RESULTS: One hundred patients were contacted, 50 SDD and 50 POD1. Of the SDD patients, 41/50 (82%) patients participated in the survey, while 23/50 (46%) of POD1 patients participated. The highest average response in both populations was an understanding of patient postoperative mobility instructions (9.27/10, 9.68/10). The lowest average response in the SDD population was family comfort with discharge (8.17/10), while patient comfort with discharge was lowest in the POD1 group, (8.56/10). Importantly, we observed that 85.37% of patients who underwent SDD would do so again if given the opportunity. The only statistically significant variable was a difference in comfort with postoperative pain control, favoring the POD1 group, p = 0.02. CONCLUSIONS: SDD colon surgery is a feasible and reproducible option. Only comfort with postoperative pain control found a statistical difference, which we intend to improve upon with postanesthesia care unit education. Of patients reviewed who underwent SDD, most patients enjoyed their experience and would undergo SDD again. Springer US 2022-07-19 2023 /pmc/articles/PMC9296012/ /pubmed/35854124 http://dx.doi.org/10.1007/s00464-022-09446-w Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Article
Curfman, Karleigh R.
Blair, Gabrielle E.
Pille, Sunshine A.
Kosnik, Callan L.
Rashidi, Laila
The patient perspective of same day discharge colectomy: one hundred patients surveyed on their experience following colon surgery
title The patient perspective of same day discharge colectomy: one hundred patients surveyed on their experience following colon surgery
title_full The patient perspective of same day discharge colectomy: one hundred patients surveyed on their experience following colon surgery
title_fullStr The patient perspective of same day discharge colectomy: one hundred patients surveyed on their experience following colon surgery
title_full_unstemmed The patient perspective of same day discharge colectomy: one hundred patients surveyed on their experience following colon surgery
title_short The patient perspective of same day discharge colectomy: one hundred patients surveyed on their experience following colon surgery
title_sort patient perspective of same day discharge colectomy: one hundred patients surveyed on their experience following colon surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9296012/
https://www.ncbi.nlm.nih.gov/pubmed/35854124
http://dx.doi.org/10.1007/s00464-022-09446-w
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