Ventral hernia patient outcomes postoperatively housed on surgical vs non-surgical units

Autor: John Scott Roth, Michael J Nisiewicz, Margaret A. Plymale, Hussain Siddiqi, Elizabeth Bittner, Daniel L. Davenport, Walker Ueland
Rok vydání: 2020
Předmět:
Zdroj: Surgical Endoscopy
ISSN: 1432-2218
0930-2794
DOI: 10.1007/s00464-020-07829-5
Popis: Background Inpatient hospital units vary in staffing ratios, monitoring, procedural abilities, and experience with unique patients and diagnoses. The purpose of this study is to assess the impact of patient cohorting upon ventral hernia repair outcomes. Methods An IRB-approved retrospective review of open ventral hernia repairs between August 2013 and July 2017 was performed. The information of all patient locations during hospitalization, time at location, post-anesthesia care unit duration (PACU), and intensive care unit (ICU) duration was collected. Patient demographics, comorbidities, operative details, cost, and patient outcomes were analyzed. Multivariable analysis of log length of stay (LOS) was assessed with adjustment for clinical and operative factors. Results 235 patients underwent open ventral hernia repair. 179 patients were admitted to surgical units, 33 non-surgical units, and 23 stayed on both units. Clinical characteristics including patient age, gender, BMI, and medical comorbidities were similar between patients boarded on surgical versus non-surgical units. Hernia, wound, and operative data were also statistically similar. Patients admitted to non-surgical units for any duration experienced longer hospital stay (4 vs. 6 days, p
Databáze: OpenAIRE
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