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Identifying Patients Eligible for a Short Hospital Stay After Stoma Closure
Charles Sabbagh1,2,3, Cyril Cosse1,2, Lionel Rebibo1
1a Department of Digestive and Oncological Surgery , Amiens University Hospital , Amiens , France.
Summary
41% of patients undergoing stoma closure were identified as good candidates for short post-operative stay (GCSS). Factors like younger age and stapled anastomosis predicted successful short stays, aiding patient selection.
Area of Science:
- Colorectal Surgery
- Surgical Outcomes
- Patient Recovery
Background:
- Enhanced recovery programs significantly shorten hospital stays after elective colorectal surgery.
- Selecting appropriate patients for early discharge after stoma closure is crucial for optimizing resource utilization and patient flow.
Purpose of the Study:
- To determine the proportion of patients suitable for a short post-operative stay (GCSS) following stoma closure.
- To identify factors associated with GCSS status and develop a predictive score.
Main Methods:
- A retrospective, single-center study included 222 patients between January 2011 and December 2014.
- The primary endpoint was the proportion of GCSS.
- Multivariate analysis identified predictors of GCSS, and a predictive score was developed.
Main Results:
- 41% (n=92) of patients were identified as GCSS.
- Younger age (<50 years), absence of vascular comorbidities, and stapled anastomosis were significantly associated with GCSS.
- A predictive score showed increasing GCSS rates with higher scores (20% for score 0 to 62% for score 3).
Conclusions:
- 41% of patients undergoing stoma closure met the criteria for a short post-operative stay.
- A predictive score incorporating age, comorbidities, and anastomosis type can help identify suitable candidates for early discharge.