Article
Gastroenterology & Hepatology
Zubair Bayat, Erin D. Kennedy, J. Charles Victor, Anand Govindarajan
Summary: This study found that surgeon factors, including low surgeon volume and increasing years-in-practice, were strongly and independently associated with longer LOS after colorectal surgery, while hospital factors did not have an independent impact. This suggests that LOS is primarily driven by surgeon-mediated care processes and may provide actionable targets for provider-level interventions to reduce LOS after CRS.
COLORECTAL DISEASE
(2023)
Review
Medicine, General & Internal
Juan V. Lorente, Robert G. Hahn, Jose L. Jover, Enrique Del Cojo, Monica Hervias, Ignacio Jimenez, Rafael Una, Fernando Clau-Terre, Manuel I. Monge, Juan V. Llau, Maria J. Colomina, Javier Ripolles-Melchor
Summary: Perioperative fluid management is a crucial aspect of major surgeries, and understanding the patient's physiology and potential perioperative changes is essential for prescribing effective treatment.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Oncology
Shigeo Ishikawa, Iku Yamamori, Satoshi Takamori, Kenichiro Kitabatake, Kaoru Edamatsu, Ayako Sugano, Hiroyuki Oizumi, Hirohisa Kato, Jun Suzuki, Kaito Sato, Kazuyuki Yusa, Mitsuaki Sadahiro, Mitsuyoshi Iino
Summary: In lung cancer surgery patients, factors such as older age, postoperative complications, increased intraoperative bleeding, more invasive operative approaches (such as open surgery), and lack of perioperative oral care intervention were significantly associated with prolonged postoperative hospital stay. Additionally, older age and longer operative time were identified as significant independent risk factors for postoperative respiratory infections.
SUPPORTIVE CARE IN CANCER
(2021)
Article
Medicine, General & Internal
Ellaha Kakar, Erwin Ista, M. Klimek, Johannes Jeekel
Summary: This study aims to investigate patient adherence to music intervention and the initial impact of implementation on postoperative pain through a systematic implementation strategy.
Article
Gastroenterology & Hepatology
Ellaha Kakar, Oddeke van Ruler, Bram van Straten, Bas Hoogteijling, Eelco J. R. de Graaf, Erwin Ista, Johan F. Lange, Johannes Jeekel, Markus Klimek
Summary: This study found that implementing music intervention in standard perioperative care is more feasible for reducing anxiety and pain, as shown by decreased anxiety scores and pain scales in patients, as well as positive perceptions from most healthcare professionals surveyed.
COLORECTAL DISEASE
(2022)
Article
Surgery
Dedrick Kok Hong Chan, Jia Jun Ang
Summary: A simple clinical score based on preoperative variables can predict prolonged length of stay following elective colorectal cancer surgery. Age, neoadjuvant therapy, smoking status, open approach, and white blood cell count are independent risk factors for prolonged length of stay. The risk score developed has a good predictive value with high sensitivity and specificity.
LANGENBECKS ARCHIVES OF SURGERY
(2021)
Article
Surgery
Manuel Buitrago-Ruiz, Ismael Martinez-Nicolas, Victor Soria-Aledo
Summary: This study validates the use of prolonged length of stay as a substitute for traditional coding of complications in colorectal cancer surgery to calculate failure-to-rescue rates. The results show that ICD-10 codes poorly identified complications, and prolonged length of stay could be a valid replacement when measuring failure-to-rescue in colorectal surgical patients.
ASIAN JOURNAL OF SURGERY
(2023)
Article
Oncology
A. T. Le Quang, F. Carli, F. Prince
Summary: This study found that preoperative physical function and tumor site (rectal) are significant predictors of prolonged Length of Stay (pLOS) in patients with colorectal cancer. Using the 6-Minute Walking Test (6MWT) as a screening tool can effectively predict patients at risk of pLOS.
Editorial Material
Geriatrics & Gerontology
Judith S. L. Partridge, S. Ramani Moonesinghe, Nicholas Lees, Jugdeep K. Dhesi
Summary: Increasing numbers of older people are undergoing surgery, but they are more prone to postoperative medical complications. Comprehensive Geriatric Assessment and optimisation can reduce these complications and be cost effective in the perioperative setting. However, challenges in implementing such services need to be addressed.
Article
Surgery
Hiromichi Sato, Hirofumi Ota, Koji Munakata, Yusuke Matsuura, Makoto Fujii, Noriko Wada, Daisuke Takiuchi, Naoki Hama, Kou Takachi, Masao Yukawa
Summary: The study evaluated the efficacy and safety of the enhanced recovery after surgery (ERAS) protocol and analyzed the impact of each ERAS item on postoperative outcomes. The findings showed that the ERAS protocol led to a shorter length of hospital stay (LOHS) without significantly increasing complication rates. Higher compliance with ERAS items resulted in lower complication rates and shorter LOHS. Perioperative fluid management had a crucial impact on the outcomes.
Review
Anesthesiology
Steven Roth, Heather E. Moss, Thasarat Sutabutr Vajaranant, BobbieJean Sweitzer
Summary: This article reviews perioperative ocular complications and the impact of ocular diseases during nonocular surgeries. The authors discuss preventive measures, risk factors, and treatments, improving the understanding of medical professionals regarding these issues.
Article
Gastroenterology & Hepatology
Thais T. T. Tweed, Carmen Woortman, Stan Tummers, Maikel J. A. M. Bakens, James van Bastelaar, Jan H. M. B. Stoot
Summary: By implementing perioperative education and expected discharge date (EDD) within the ERAS program, it is possible to reduce length of stay (LOS) for colorectal cancer surgery patients, decrease postoperative complication rates, and lower hospital costs.
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
(2021)
Article
Nutrition & Dietetics
Elham Makiabadi, Reza Nakhaeizadeh, Mohammad Soleimani, Javad Nasrollahzadeh
Summary: Perioperative supplementation of vitamin E and zinc can improve postoperative inflammatory response and hospital length of stay in CABG patients.
EUROPEAN JOURNAL OF CLINICAL NUTRITION
(2023)
Article
Cardiac & Cardiovascular Systems
Qiuying Chen, Bin Zhang, Jue Yang, Xiaokai Mo, Lu Zhang, Minmin Li, Zhuozhi Chen, Jin Fang, Fei Wang, Wenhui Huang, Ruixin Fan, Shuixing Zhang
Summary: This study developed and validated machine learning models for predicting ICU length of stay after surgery for acute type A aortic dissection. By analyzing 12 predictive factors, the Random Forest model showed the best performance in accurately predicting the duration of ICU stay.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
Review
Nutrition & Dietetics
Louise Pitsillides, Gianluca Pellino, Paris Tekkis, Christos Kontovounisios
Summary: Probiotics may help lower the rates of infectious and non-infectious complications, reduce bacterial translocation, maintain intestinal mucosal permeability, and provide a better balance of beneficial to pathogenic microorganisms in CRC patients during the perioperative period.