Intestinal failure functional classification type associated with an extended length of stay at the intestinal failure unit, Central Hospital in Chihuahua, Mexico.

Autor:	Enriquez-Sánchez LB; General Surgery Department, Hospital Central del Estado. Chihuahua, México., Carrillo-Gorena MJ; Surgical Division, Hospital Central del Estado. Chihuahua, México., Granados-Aldaz LA; Facultad de Medicina y Ciencias Biomédicas, Universidad Autónoma de Chihuahua. Chihuahua, México., Balderrama-Miramontes LF; Facultad de Medicina y Ciencias Biomédicas, Universidad Autónoma de Chihuahua. Chihuahua, México., Gallegos-Portillo LG; Facultad de Medicina y Ciencias Biomédicas, Universidad Autónoma de Chihuahua. Chihuahua, México., Reza-Leal CN; Facultad de Medicina y Ciencias Biomédicas, Universidad Autónoma de Chihuahua. Chihuahua, México., González-Villa A; Facultad de Medicina y Ciencias Biomédicas, Universidad Autónoma de Chihuahua. Chihuahua, México., Fernández-Villalobos K; Intestinal Failure Unit, Clinical Nutrition Department, Hospital Central del Estado. Chihuahua, México.
Jazyk:	angličtina
Zdroj:	Cirugia y cirujanos [Cir Cir] 2019; Vol. 87 (5), pp. 559-563.
DOI:	10.24875/CIRU.19000767
Abstrakt:	Background: Intestinal failure (IF) was first defined as "a reduction in the functioning gut mass below the minimal amount necessary for adequate digestion and absorption." In our environment, there are no statistical data for IF in adult patients' extended length of stay (LOS), nor the economic impact that it implies. Objective: The objective of the study was to describe the association between the IF type and extended LOS. Methods: Patients admitted to our IF Unit between March 2016 and March 2018 were enrolled. We conducted a 2-year retrospective cross-sectional study. Results: From the total of 53 patients, 35% corresponded to type I IF, 58.5% to type II IF, and 7.5% to type III IF. The mean LOS, according to the type of functional IF was 51 days for type I, 77.48 days for type II, and 68.25 days for type III. The mean LOS for the three IF types was 67.79 days. Conclusion: Extended LOS occurs in an important proportion of patients with IF, resulting in increased morbidity and mortality, as well as in costs and associated side effects. Future research should focus on economic studies, to know the economic impact that this subject entails for our health systems. (Copyright: © 2019 Permanyer.)
Databáze:	MEDLINE
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