Melbourne School of Health Sciences, The University of Melbourne, Victoria, Australia.
Colorectal Dis. 2012 Mar;14(3):270-81. doi: 10.1111/j.1463-1318.2010.02477.x.
The aim of this study was to identify and synthesize the hospital discharge criteria that have been used in the colorectal surgery literature.
A systematic literature search was conducted using eight bibliographic databases. Searches were limited to English language journal articles published between January 1996 and October 2009. Primary research applying hospital discharge criteria following colorectal surgery was included. Study selection was made independently by two reviewers. Discharge criteria were extracted from each included study.
The 156 studies identified by the search strategy described 70 different sets of criteria to indicate readiness for discharge. The majority of studies applied a combination of three or four criteria; those most frequently cited were tolerance of oral intake (80%), return of bowel function (70%), adequate pain control (44%) and adequate mobility (35%). End-points employed to determine the achievement of criteria were generally poorly defined.
A variety of hospital discharge criteria were applied in the colorectal surgery literature. Development of standardized criteria will allow more accurate comparison of results between studies assessing hospital length of stay or other discharge-related outcome measures.
本研究旨在识别并综合结直肠外科文献中使用的出院标准。
使用 8 个文献数据库进行系统文献检索。检索仅限于 1996 年 1 月至 2009 年 10 月期间发表的英文期刊文章。纳入了主要应用结直肠手术后出院标准的原始研究。出院标准由两位独立的评审员从每篇纳入的研究中提取。
通过描述性研究策略确定的 156 项研究描述了 70 种不同的标准组合，以表明可以出院。大多数研究采用了三到四种标准的组合；最常引用的标准是口服摄入耐受（80%）、肠道功能恢复（70%）、充分的疼痛控制（44%）和充分的活动能力（35%）。用于确定标准实现的终点通常定义较差。
在结直肠外科文献中应用了各种出院标准。制定标准化标准将使评估住院时间或其他与出院相关的结果测量的研究之间的结果更准确地进行比较。
