Predictive Factors for a Long Hospital Stay in Patients Undergoing Laparoscopic Cholecystectomy
Joint Authors
Ko-iam, Wasana
Sandhu, Trichak
Paiboonworachat, Sahattaya
Pongchairerks, Paisal
Chotirosniramit, Anon
Chotirosniramit, Narain
Chandacham, Kamtone
Jirapongcharoenlap, Tidarat
Junrungsee, Sunhawit
Source
International Journal of Hepatology
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-23
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Ko-iam, Wasana& Sandhu, Trichak& Paiboonworachat, Sahattaya& Pongchairerks, Paisal& Chotirosniramit, Anon& Chotirosniramit, Narain…[et al.]. 2017. Predictive Factors for a Long Hospital Stay in Patients Undergoing Laparoscopic Cholecystectomy. International Journal of Hepatology،Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1167326
Modern Language Association (MLA)
Ko-iam, Wasana…[et al.]. Predictive Factors for a Long Hospital Stay in Patients Undergoing Laparoscopic Cholecystectomy. International Journal of Hepatology No. 2017 (2017), pp.1-8.
https://search.emarefa.net/detail/BIM-1167326
American Medical Association (AMA)
Ko-iam, Wasana& Sandhu, Trichak& Paiboonworachat, Sahattaya& Pongchairerks, Paisal& Chotirosniramit, Anon& Chotirosniramit, Narain…[et al.]. Predictive Factors for a Long Hospital Stay in Patients Undergoing Laparoscopic Cholecystectomy. International Journal of Hepatology. 2017. Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1167326
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1167326