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Fast Track Open Partial Nephrectomy : Reduced Postoperative Length of Stay with a Goal-Directed Pathway Does Not Compromise Outcome
Joint Authors
Perrotti, Michael
Rosenberg, Stuart
Finn, Daniel
Yarlagadda, Bharat
Abraham, Christa
Chughtai, Bilal
Source
Issue
Vol. 2008, Issue 2008 (31 Dec. 2008), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2008-09-04
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction.
The aim of this study is to examine the feasibility of reducing postoperative hospital stay following open partial nephrectomy through the implementation of a goal directed clinical management pathway.
Materials and Methods.
A fast track clinical pathway for open partial nephrectomy was introduced in July 2006 at our institution.
The pathway has daily goals and targets discharge for all patients on the 3rd postoperative day (POD).
Defined goals are (1) ambulation and liquid diet on the evening of the operative day; (2) out of bed (OOB) at least 4 times on POD 1; (3) removal of Foley catheter on the morning of POD 2; (4) removal of Jackson Pratt drain on the afternoon of POD 2; (4) discharge to home on POD 3.
Patients and family are instructed in the fast track protocol preoperatively.
Demographic data, tumor size, length of stay, and complications were captured in a prospective database, and compared to a control group managed consecutively immediately preceding the institution of the fast track clinical pathway.
Results.
Data on 33 consecutive patients managed on the fast track clinical pathway was compared to that of 25 control patients.
Twenty two (61%) out of 36 fast track patients and 4 (16%) out of 25 control patients achieved discharge on POD 3.
Overall, fast track patients had a shorter hospital stay than controls (median, 3 versus 4 days; P = .012).
Age (median, 55 versus 57 years), tumor size (median, 2.5 versus 2.5 cm), readmission within 30 days (5.5% versus 5.1%), and complications (10.2% versus 13.8%) were similar in the fast track patients and control, respectively.
Conclusions.
In the present series, a fast track clinical pathway after open partial nephrectomy reduced the postoperative length of hospital stay and did not appear to increase the postoperative complication rate.
American Psychological Association (APA)
Chughtai, Bilal& Abraham, Christa& Finn, Daniel& Rosenberg, Stuart& Yarlagadda, Bharat& Perrotti, Michael. 2008. Fast Track Open Partial Nephrectomy : Reduced Postoperative Length of Stay with a Goal-Directed Pathway Does Not Compromise Outcome. Advances in Urology،Vol. 2008, no. 2008, pp.1-5.
https://search.emarefa.net/detail/BIM-477162
Modern Language Association (MLA)
Chughtai, Bilal…[et al.]. Fast Track Open Partial Nephrectomy : Reduced Postoperative Length of Stay with a Goal-Directed Pathway Does Not Compromise Outcome. Advances in Urology No. 2008 (2008), pp.1-5.
https://search.emarefa.net/detail/BIM-477162
American Medical Association (AMA)
Chughtai, Bilal& Abraham, Christa& Finn, Daniel& Rosenberg, Stuart& Yarlagadda, Bharat& Perrotti, Michael. Fast Track Open Partial Nephrectomy : Reduced Postoperative Length of Stay with a Goal-Directed Pathway Does Not Compromise Outcome. Advances in Urology. 2008. Vol. 2008, no. 2008, pp.1-5.
https://search.emarefa.net/detail/BIM-477162
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-477162