Author/Authors :
Ko-iam, Wasana Clinical Epidemiology - Faculty of Medicine - Chiang Mai University - Chiang Mai, Thailand - Department of Surgery - Faculty of Medicine - Chiang Mai University - Chiang Mai, Thailand , Sandhu, Trichak Department of Surgery - Faculty of Medicine - Chiang Mai University - Chiang Mai, Thailand , Paiboonworachat, Sahattaya Department of Anesthesiology - Faculty of Medicine - Chiang Mai University - Chiang Mai, Thailand , Pongchairerks, Paisal Department of Surgery - Bumrungrad International Hospital - Bangkok, Thailand , Chotirosniramit, Anon Department of Surgery - Faculty of Medicine - Chiang Mai University - Chiang Mai, Thailand , Chotirosniramit, Narain Department of Surgery - Faculty of Medicine - Chiang Mai University - Chiang Mai, Thailand , Chandacham, Kamtone Department of Surgery - Faculty of Medicine - Chiang Mai University - Chiang Mai, Thailand , Jirapongcharoenlap, Tidarat Department of Surgery - Faculty of Medicine - Chiang Mai University - Chiang Mai, Thailand , Junrungsee, Sunhawit Department of Surgery - Faculty of Medicine - Chiang Mai University - Chiang Mai, Thailand
Abstract :
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.
Keywords :
Predictive Factors , Long Hospital Stay , Patients , laparoscopic cholecystectomy
