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...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | International Journal of Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2017/5497936 |
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| author | Wasana Ko-iam Trichak Sandhu Sahattaya Paiboonworachat Paisal Pongchairerks Anon Chotirosniramit Narain Chotirosniramit Kamtone Chandacham Tidarat Jirapongcharoenlap Sunhawit Junrungsee |
| author_facet | Wasana Ko-iam Trichak Sandhu Sahattaya Paiboonworachat Paisal Pongchairerks Anon Chotirosniramit Narain Chotirosniramit Kamtone Chandacham Tidarat Jirapongcharoenlap Sunhawit Junrungsee |
| author_sort | Wasana Ko-iam |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-d478a362195a47ddac67040ce466cf5a |
| institution | Kabale University |
| issn | 2090-3448 2090-3456 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Hepatology |
| spelling | doaj-art-d478a362195a47ddac67040ce466cf5a2025-02-03T01:02:46ZengWileyInternational Journal of Hepatology2090-34482090-34562017-01-01201710.1155/2017/54979365497936Predictive Factors for a Long Hospital Stay in Patients Undergoing Laparoscopic CholecystectomyWasana Ko-iam0Trichak Sandhu1Sahattaya Paiboonworachat2Paisal Pongchairerks3Anon Chotirosniramit4Narain Chotirosniramit5Kamtone Chandacham6Tidarat Jirapongcharoenlap7Sunhawit Junrungsee8Clinical Epidemiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, ThailandDepartment of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, ThailandDepartment of Anesthesiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, ThailandDepartment of Surgery, Bumrungrad International Hospital, Bangkok, ThailandDepartment of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, ThailandDepartment of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, ThailandDepartment of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, ThailandDepartment of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, ThailandDepartment of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, ThailandBackground. 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.http://dx.doi.org/10.1155/2017/5497936 |
| spellingShingle | Wasana Ko-iam Trichak Sandhu Sahattaya Paiboonworachat Paisal Pongchairerks Anon Chotirosniramit Narain Chotirosniramit Kamtone Chandacham Tidarat Jirapongcharoenlap Sunhawit Junrungsee Predictive Factors for a Long Hospital Stay in Patients Undergoing Laparoscopic Cholecystectomy International Journal of Hepatology |
| 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 |
| url | http://dx.doi.org/10.1155/2017/5497936 |
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