Predictive Factors for a Long Hospital Stay in Patients Undergoing Laparoscopic Cholecystectomy

� 2017 Wasana Ko-iam et al. 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...

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Main Authors: Wasana Ko-Iam, Trichak Sandhu, Sahattaya Paiboonworachat, Paisal Pongchairerks, Anon Chotirosniramit, Narain Chotirosniramit, Kamtone Chandacham, Tidarat Jirapongcharoenlap, Sunhawit Junrungsee
Format: Journal
Published: 2018
Online Access:https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85012165180&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/47317
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spelling th-cmuir.6653943832-473172018-04-25T07:31:57Z Predictive Factors for a Long Hospital Stay in Patients Undergoing Laparoscopic Cholecystectomy Wasana Ko-Iam Trichak Sandhu Sahattaya Paiboonworachat Paisal Pongchairerks Anon Chotirosniramit Narain Chotirosniramit Kamtone Chandacham Tidarat Jirapongcharoenlap Sunhawit Junrungsee � 2017 Wasana Ko-iam et al. 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 retrospectiv e 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. 2018-04-25T07:31:57Z 2018-04-25T07:31:57Z 2017-01-01 Journal 20903456 20903448 2-s2.0-85012165180 10.1155/2017/5497936 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85012165180&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/47317
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
description � 2017 Wasana Ko-iam et al. 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 retrospectiv e 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 Journal
author Wasana Ko-Iam
Trichak Sandhu
Sahattaya Paiboonworachat
Paisal Pongchairerks
Anon Chotirosniramit
Narain Chotirosniramit
Kamtone Chandacham
Tidarat Jirapongcharoenlap
Sunhawit Junrungsee
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
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
title 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_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_sort predictive factors for a long hospital stay in patients undergoing laparoscopic cholecystectomy
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85012165180&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/47317
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