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Fast-track program for liver resection: factors prolonging length of stay
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2014 (English)In: Hepato-Gastroenterology, ISSN 0172-6390, Vol. 61, no 136, 2340-2344 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND/AIMS: Fast-track programs involving multi-modal measures to enhance recovery after surgery, reduce morbidity and decrease hospital length of stay (LOS) are used for different major surgical procedures. For liver resections, factors influencing LOS within a fast-track program have been studied only to a limited extent, which was the aim of the present study.

METHODOLOGY: The present study comprises the first 64 patients included in a fast-track program for liver resections introduced in March 2012. Patient outcomes were compared to a historical cohort of patients (n=62) operated in 2009. Factors prolonging LOS was analyzed by uni- and multivariate analysis.

RESULTS: Median LOS was 6 days (range 3-42 days) within the fast-track program as compared with 8 days (range 5-47 days) in the historical cohort (P=0.004). On multivariate analysis, factors increasing LOS in the fast-track group were found to be the presence of complication (P=0.018), extent of resection (major as compared to minor) (P=0.001) and inability to drink > 1250 ml on the day after surgery (P=0.002).

CONCLUSION: Patients who can only drink limited amounts of fluid the day after liver resection represent a subset of patients that should be given special attention within a fast-track program.

Place, publisher, year, edition, pages
2014. Vol. 61, no 136, 2340-2344 p.
National Category
URN: urn:nbn:se:umu:diva-102772DOI: 10.5754/hge13687ISI: 000346326500039PubMedID: 25699379OAI: diva2:809573
Available from: 2015-05-04 Created: 2015-05-04 Last updated: 2015-07-31Bibliographically approved

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Blind, Per-Jonas
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