| Autor: |
de Azevedo, José Gonçalves Moreira, Mendes, Carlos Ramon Silveira, Lima, Meyline Andrade, Pessoa, Joana Carolina Saraiva de Paula, São Julião, Guilherme Pagin, Perez, Rodrigo Oliva, Vailati, Bruna Borba |
| Předmět: |
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| Zdroj: |
Colorectal Disease; Oct2021, Vol. 23 Issue 10, p2714-2722, 9p |
| Abstrakt: |
Aim: The aim was to describe risk factors for hospital readmission in patients undergoing laparoscopic colorectal procedures and being discharged in ≤24 h. Method: All consecutive patients undergoing minimally invasive colorectal surgery between 2010 and 2019 from a single institution were retrospectively reviewed. All patients were included in an enhanced recovery programme. Patients who met criteria for hospital discharge were compared according to the need for readmission in a 45‐day follow‐up. Results: In all, 664 patients underwent minimally invasive colorectal surgery during the study period and 237 (35.7%) were discharged in ≤24 h. Readmission was required in 16 (6.8%) patients discharged in ≤24 h and no postoperative mortality was observed in this group. Patients discharged in ≤24 h were more likely to have benign disease (P < 0.001), fewer associated procedures (P < 0.025) and intracorporeal anastomoses (P < 0.001). The type of surgical procedure (abdominoperineal resection), low rectal tumour, malignant disease, older age and longer operating time were associated with readmission. Age (OR 1.06; P = 0.037), malignant disease (OR 4.39; P = 0.05) and operating time (OR 1.03; P < 0.001) were identified as independent predictive factors for readmission amongst patients being discharged in ≤24 h. Conclusion: Highly selected patients undergoing minimally invasive procedures in colorectal surgery may be safely discharged within 24 h following the procedure. High‐risk features for readmission include older age, malignant disease and longer operating time. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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