Predictors of Length of Stay Following Colorectal Resection for Neoplasms in 183 Veterans Affairs Patients

Leung, Anna; Gibbons, R.; Vu, Huan
October 2009
World Journal of Surgery;Oct2009, Vol. 33 Issue 10, p2183
Academic Journal
There is increasing pressure to reduce the length of stay in hospital (LOS) after colorectal surgery. The aim of this study was to identify factors that prolong LOS after colorectal surgery in a population of veterans. Retrospective analysis was performed of all patients undergoing colorectal resection for a neoplasm at a single Veterans Affairs (VA) hospital (2002–2007). Data collected included demographics, co-morbidities, operative management, postoperative morbidity and mortality, nutritional status, and LOS. Statistical analysis included descriptive statistics, univariate analysis, and multivariate analysis. A total of 186 patients were identified. Three patients had an LOS of more than 100 days and were omitted from the analysis. The median LOS was 8 days. Multivariate analysis showed only two variables: coronary artery disease (CAD) and postoperative complications were predictive of prolonged LOS. Chronic obstructive pulmonary disease (COPD) was the only preoperative morbidity predictive of complications. The aim of this study was to identify factors that prolong LOS after colorectal surgery in a VA population. We found that CAD and postoperative complications were the only variables predictive of prolonged LOS after colorectal resection, and COPD was the only factor predictive of postoperative complications.


Related Articles

  • The lasso technique for laparoscopic distal pancreatectomy. Velanovich, V. // Surgical Endoscopy;Nov2006, Vol. 20 Issue 11, p1766 

    Background: Laparoscopic distal pancreatectomy with or without splenectomy is becoming an acceptable alternative to open resection for selected pancreatic lesions. One of the difficulties with this approach is manipulating the pancreas with laparoscopic instruments to avoid...

  • Fast Track Postoperative Management after Elective Colorectal Surgery: A Controlled Trail. FEO, CARLO V.; LANZARA, SERENA; SORTINI, DAVIDE; RAGAZZI, RICCARDO; DE PINTO, MARIO; PANSINI, GIAN CARLO; LIBONI, ALBERTO // American Surgeon;Dec2009, Vol. 75 Issue 12, p1247 

    In the attempt to reduce postoperative complications and costs and improve outcomes, the concept of fast track surgery has been proposed, improvements in anesthesia techniques and a better understanding of the pathophysiologic events occurring during and after surgery have made it possible. A...

  • Benchmarking in thoracic surgery Freixinet, Jorge L.; Varela, Gonzalo; Molins, Laureano; Rivas, Juan J.; Rodríguez-Paniagua, José M.; de Castro, Pedro López; Izquierdo, José M.; Torres, Juan // European Journal of Cardio-Thoracic Surgery;Jul2011, Vol. 40 Issue 1, p124 

    Abstract: Objective: Presentation of an experience in benchmarking in 13 university Spanish thoracic surgery services. Methods: The minimum basic data set (MBDS) for hospitalization, corresponding to 2007, including all registered hospital discharges, was used. The performance of the hospitals...

  • Clinical outcomes and case volume effect of transanal total mesorectal excision for rectal cancer: a systematic review. Deijen, C.; Tsai, A.; Koedam, T.; Veltcamp Helbach, M.; Sietses, C.; Lacy, A.; Bonjer, H.; Tuynman, J. // Techniques in Coloproctology;Dec2016, Vol. 20 Issue 12, p811 

    Transanal total mesorectal excision (TaTME) has been developed to improve quality of TME for patients with mid and low rectal cancer. However, despite enthusiastic uptake and teaching facilities, concern exists for safe introduction. TaTME is a complex procedure and potentially a learning curve...

  • Early removal of the chest tube after complete video-assisted thoracoscopic lobectomies Göttgens, Kevin W.A.; Siebenga, Jan; Belgers, Eric H.J.; van Huijstee, Pieter-Jan; Bollen, Ewald C.M. // European Journal of Cardio-Thoracic Surgery;Apr2011, Vol. 39 Issue 4, p575 

    Abstract: Objective: Chest tubes induce morbidity such as pain, decrease mobility, increase the risk of infection, and prolong the length of hospital stays. This study evaluates a chest-tube protocol containing a high-drainage threshold and a short time period of drainage. Methods: A...

  • Early Outcomes of Single-Port Video-Assisted Thoracic Surgery for Primary Spontaneous Pneumothorax. Do Kyun Kang; Ho Ki Min; Hee Jae Jun; Youn Ho Hwang; Min-Kyun Kang // Korean Journal of Thoracic & Cardiovascular Surgery;Aug2014, Vol. 47 Issue 4, p384 

    Background: Recently, single-port video-assisted thoracic surgery (VATS) has been proposed as an alternative to the conventional three-port VATS for primary spontaneous pneumothorax (PSP). The aim of this study is to evaluate the early outcomes of the single-port VATS for PSP. Methods: VATS was...

  • Seasonal variation influences outcomes following lung cancer resections LaPar, Damien J.; Nagji, Alykhan S.; Bhamidipati, Castigliano M.; Kozower, Benjamin D.; Lau, Christine L.; Ailawadi, Gorav; Jones, David R. // European Journal of Cardio-Thoracic Surgery;Jul2011, Vol. 40 Issue 1, p83 

    Abstract: Objective: The effect of seasonal variation on postoperative outcomes following lung cancer resections is unknown. We hypothesized that postoperative outcomes following surgical resection for lung cancer within the United States would not be impacted by operative season. Methods: From...

  • Does Imaging Modality Used for Percutaneous Renal Access Make a Difference? A Matched Case Analysis. Andonian, Sero; Scoffone, Cesare M.; Louie, Michael K.; Gross, Andreas J.; Grabe, Magnus; Daels, Francisco P.J.; Shah, Hemendra N.; de la Rosette, on behalf of the CROES PCNL Study Group, Jean J.M.C.H. // Journal of Endourology;Jan2013, Vol. 27 Issue 1, p24 

    Objective: To assess perioperative outcomes of percutaneous nephrolithotomy (PCNL) using ultrasound or fluoroscopic guidance for percutaneous access. Methods: A prospectively collected international Clinical Research Office of the Endourological Society (CROES) database containing 5806 patients...

  • An evaluation of the timing of surgical complications following nephrectomy: data from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP). Sood, Akshay; Abdollah, Firas; Sammon, Jesse; Kapoor, Victor; Rogers, Craig; Jeong, Wooju; Klett, Dane; Hanske, Julian; Meyer, Christian; Peabody, James; Menon, Mani; Trinh, Quoc-Dien // World Journal of Urology;Dec2015, Vol. 33 Issue 12, p2031 

    Purpose: The rates of complications following radical/partial nephrectomy (RN/PN) are well known; however, the data regarding timing are opaque. Accordingly, we sought to assess the median time-to-event for 19 principal postoperative complications within 30 days following surgery. Methods:...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics