Leung Anna M, Gibbons R L, Vu Huan N
Department of Surgery, Medical College of Virginia Campus of Virginia Commonwealth University, P.O. Box 980011, Richmond, VA, 23298-0568, USA.
World J Surg. 2009 Oct;33(10):2183-8. doi: 10.1007/s00268-009-0148-6.
There is increasing pressure to reduce the length of stay in hospital (LOS) after colorectal surgery. The aim of this study was to identify factors that prolong LOS after colorectal surgery in a population of veterans.
Retrospective analysis was performed of all patients undergoing colorectal resection for a neoplasm at a single Veterans Affairs (VA) hospital (2002-2007). Data collected included demographics, co-morbidities, operative management, postoperative morbidity and mortality, nutritional status, and LOS. Statistical analysis included descriptive statistics, univariate analysis, and multivariate analysis.
A total of 186 patients were identified. Three patients had an LOS of more than 100 days and were omitted from the analysis. The median LOS was 8 days. Multivariate analysis showed only two variables: coronary artery disease (CAD) and postoperative complications were predictive of prolonged LOS. Chronic obstructive pulmonary disease (COPD) was the only preoperative morbidity predictive of complications.
The aim of this study was to identify factors that prolong LOS after colorectal surgery in a VA population. We found that CAD and postoperative complications were the only variables predictive of prolonged LOS after colorectal resection, and COPD was the only factor predictive of postoperative complications.
缩短结直肠手术后住院时间（LOS）的压力日益增大。本研究旨在确定退伍军人人群中结直肠手术后延长住院时间的因素。
对一家退伍军人事务（VA）医院（2002 - 2007年）所有因肿瘤接受结直肠切除术的患者进行回顾性分析。收集的数据包括人口统计学、合并症、手术管理、术后发病率和死亡率、营养状况以及住院时间。统计分析包括描述性统计、单因素分析和多因素分析。
共确定了186例患者。3例住院时间超过100天的患者被排除在分析之外。中位住院时间为8天。多因素分析显示只有两个变量：冠状动脉疾病（CAD）和术后并发症可预测住院时间延长。慢性阻塞性肺疾病（COPD）是唯一可预测并发症的术前合并症。
本研究的目的是确定退伍军人人群中结直肠手术后延长住院时间的因素。我们发现CAD和术后并发症是结直肠切除术后住院时间延长的唯一预测变量，而COPD是术后并发症的唯一预测因素。
