Influence of patient's dressing on spontaneous physical activity and length of hospital stay in surgical patients

1999 ◽  
Vol 44 (1) ◽  
pp. 8-13 ◽  
Author(s):  
Olivier Despond ◽  
Eric Buchser ◽  
Anne-Lise Sprunger ◽  
Dorith Sloutkis
Keyword(s):  
Physical Activity ◽  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Surgical Patients ◽  
Spontaneous Physical Activity

scholarly journals EP.WE.782Retrospective analysis of acute surgical admissions during COVID-19 pandemic

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Shenbaga Rajamanikam ◽  
Suzzana Argyropoulos ◽  
Reza Arsalani Zadeh
Keyword(s):  
Length Of Stay ◽  
Hospital Stay ◽  
Surgical Procedures ◽  
Length Of Hospital Stay ◽  
Period Length ◽  
Surgical Patients ◽  
Surgical Team ◽  
Surgical Operations

Abstract Background COVID-19 pandemic has affected the number of surgical admissions and the number of emergency general surgical operations performed. COVID-19 pandemic has also led to changes in how some of the acute surgical patients were managed. Aim of the study was to compare acute surgical admissions and number of emergency general surgical procedures in this period. Material and Method We retrospectively analyzed acute surgical admissions during the pandemic from 20/3/20 to 19/4/20 and compared it with acute surgical admissions during pre-COVID-19 period from 1/11/2019 to 30/11/2019. Results During the COVID-19 pandemic 97 patients were assessed and admitted by the General surgical team, during the pre COVID-19 period 205 patients were assessed and admitted by the General surgical team. The number of acute surgical admissions during COVID-19 pandemic dropped by 53%. There were 46% less emergency surgeries performed during COVID 19 pandemic period. Length of stay during and before the COVID-19pandemic were 4.1 vs 4.4 days. Conclusion During the COVID-19 pandemic number of acute surgical admissions and the number of emergency surgeries were fewer than during pre COVID-19 pandemic. Length of hospital stay was less during COVID-19 pandemic.

Nutrition Status and Risk Factors Associated With Length of Hospital Stay for Surgical Patients

2010 ◽  
Vol 35 (2) ◽  
pp. 241-248 ◽  
Author(s):  
Vânia Aparecida Leandro-Merhi ◽  
José Luiz Braga de Aquino ◽  
José Francisco Sales Chagas
Keyword(s):  
Risk Factors ◽  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Surgical Patients ◽  
Nutrition Status ◽  
Factors Associated

Goal-Directed Intraoperative Therapy Reduces Morbidity and Length of Hospital Stay in High-Risk Surgical Patients

CHEST Journal ◽  
2007 ◽  
Vol 132 (6) ◽  
pp. 1817-1824 ◽  
Author(s):  
Abele Donati ◽  
Silvia Loggi ◽  
Jean-Charles Preiser ◽  
Giovanni Orsetti ◽  
Cristopher Münch ◽  
...  
Keyword(s):  
High Risk ◽  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Surgical Patients

Effects of sarcopenia on functional improvement over the first year after cardiac surgery: a cohort study

2019 ◽  
Vol 18 (4) ◽  
pp. 309-317 ◽  
Author(s):  
Chiao-Hsin Teng ◽  
Ssu-Yuan Chen ◽  
Yu-Chung Wei ◽  
Ron-Bin Hsu ◽  
Nai-Hsin Chi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiac Surgery ◽  
Hospital Stay ◽  
Grip Strength ◽  
Length Of Hospital Stay ◽  
Walking Distance ◽  
Functional Improvement ◽  
Activity Levels ◽  
Functional Changes ◽  
Physical Activity Levels

Background: Sarcopenia is linked with poor postoperative outcomes. Aims: To evaluate the effects of sarcopenia on first-year functional changes after cardiac surgery. Methods: In this prospective cohort study, functional changes (physical activity levels in metabolic equivalent hours/week, 6-minute walking distance in metres, and grip strength in kg) from preoperative baseline to 1, 3, 6 and 12 months postoperatively were compared in adult patients with and without sarcopenia undergoing cardiac surgery at a tertiary medical centre. Presurgical sarcopenia was defined as low muscle mass plus either low strength or poor physical performance (i.e. reduced gait speed). Secondary outcomes (length of hospital stay and 1-year mortality) were compared between sarcopenia and non-sarcopenia groups. Results: Sarcopenia presented in 27.7% ( n=67) of 242 participants. Participants with sarcopenia were significantly older, predominantly women, and had lower body mass index and higher cardiac surgery risk (measured by the EuroSCORE II) than those without sarcopenia. For both groups, physical activity levels, walking distance and grip strength steadily improved over the year following cardiac surgery. Independent of EuroSCORE II, changes in physical activity levels, walking distance and grip strength did not differ significantly between the sarcopenia and non-sarcopenia groups 1, 3, 6 and 12 months after surgery. Nevertheless, the sarcopenia group had a significantly longer length of hospital stay than the non-sarcopenia group (19.4 vs. 15.3 days; β=2.9, P=0.02) but 1-year mortality (3.4 vs. 3.9% for non-sarcopenia group) was comparable. Conclusions: Despite a longer length of hospital stay for the sarcopenia group, sarcopenia was not a restriction for cardiac surgery given their comparable functional improvement and mortality 1 year following surgery.

scholarly journals Systematic review and meta-analysis of the association between frailty and outcome in surgical patients

2016 ◽  
Vol 98 (2) ◽  
pp. 80-85 ◽  
Author(s):  
K Oakland ◽  
R Nadler ◽  
L Cresswell ◽  
D Jackson ◽  
PA Coughlin
Keyword(s):  
Mortality Rate ◽  
Hospital Stay ◽  
Surgical Intervention ◽  
Discharge Rate ◽  
Meta Analysis ◽  
Length Of Hospital Stay ◽  
The Elderly ◽  
Surgical Patients ◽  
Step Down ◽  
One Year

Introduction Frailty is becoming increasingly prevalent in the elderly population although a lack of consensus regarding a clinical definition hampers comparison of clinical studies. More elderly patients are being assessed for surgical intervention but the effect of frailty on surgical related outcomes is still not clear. Methods A systematic literature search for studies prospectively reporting frailty and postoperative outcomes in patients undergoing surgical intervention was performed with data collated from a total of 12 studies. Random effects meta-analysis modelling was undertaken to estimate the association between frailty and mortality rates (in-hospital and one-year), length of hospital stay and the need for step-down care for further rehabilitation/nursing home placement. Results Frailty was associated with a higher in-hospital mortality rate (pooled odds ratio [OR]: 2.77, 95% confidence interval [CI]: 1.62–4.73), a higher one-year mortality rate (pooled OR: 1.99, 95% CI: 1.49–2.66), a longer hospital stay (pooled mean difference: 1.05 days, 95% CI: 0.02–2.07 days) and a higher discharge rate to further rehabilitation/step-down care (pooled OR: 5.71, 95% CI: 3.41–9.55). Conclusions The presence of frailty in patients undergoing surgical intervention is associated with poorer outcomes with regard to mortality and return to independence. Further in-depth studies are required to identify factors that can be optimised to reduce the burden of frailty in surgical patients.

PP108 NUTRITIONAL STATUS AND LENGTH OF HOSPITAL STAY FOR SURGICAL PATIENTS

2010 ◽  
Vol 5 (2) ◽  
pp. 65
Author(s):  
V.A. Leandro-Merhi ◽  
L.H. Villagelin ◽  
J.L.B. Aquino
Keyword(s):  
Nutritional Status ◽  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Surgical Patients

scholarly journals Emergency Cholecystectomy Versus Percutaneous Cholecystostomy for Treatment of Acute Cholecystitis in High-Risk Surgical Patients

2019 ◽  
Vol 103 (11-12) ◽  
pp. 534-541
Author(s):  
Cevher Akarsu ◽  
Ahmet Cem Dural ◽  
Aysun Erbahceci Salik ◽  
Mustafa Gokhan Unsal ◽  
Osman Kones ◽  
...  
Keyword(s):  
High Risk ◽  
Hospital Stay ◽  
Acute Cholecystitis ◽  
Length Of Hospital Stay ◽  
Treatment Method ◽  
Surgical Patients ◽  
Percutaneous Cholecystostomy ◽  
High Risk Patients ◽  
Severity Scores ◽  
Risk Patients

Our aim is to present our experience with laparoscopic cholecystectomy (LC) and percutaneous cholecystostomy (PC) in high-risk patients with acute cholecystitis (AC). The guidelines for AC are still debatable for high-risk patients. We aimed to emphasize the role of LC as a primary treatment method in patients with severe AC instead of a treatment after PC according to the Tokyo Guidelines (TG). AC patients with high surgical risk [American Society of Anesthesiologists (ASA) III-IV] who were admitted to our department between March 2008 and November 2014 were retrospectively evaluated. Disease severity in all patients was assessed according to the 2007 TG for AC. Patients were either treated by emergency LC (group LC) or PC (group PC). Demographic data, ASA scores, treatment methods, rates of conversion to open surgery, duration of drainage, length of hospital stay, and morbidity and mortality rates were compared among groups. Age, ASA score, and TG07 severity scores in the PC group were significantly higher than that in the LC group (P < 0.001, P < 0.001, and P < 0.001, respectively). Sex distribution (P = 0.33), follow-up periods (P = 0.33), and morbidity (P = 0.86) were similar. In the patients with early surgical intervention, mortality was significantly lower (P < 0.001). Length of hospital stay was significantly shorter in the LC group compared with the PC group (P < 0.001). In high-risk surgical patients, PC can serve as an alternative treatment method because of its efficiency in the prevention of sepsis-related complications due to AC. However, LC still should be an option for severe AC with comparable short-term results.

scholarly journals Clinical and nutritional status of surgical patients with and without malignant diseases: cross-sectional study

2011 ◽  
Vol 48 (1) ◽  
pp. 58-61 ◽  
Author(s):  
Vânia Aparecida Leandro-Merhi ◽  
José Luiz Braga de Aquino ◽  
José Gonzaga Teixeira de Camargo ◽  
Patrícia Baston Frenhani ◽  
Júlia Laura Delbue Bernardi ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Weight Loss ◽  
Nutritional Status ◽  
Hospital Stay ◽  
Body Mass ◽  
Lymphocyte Count ◽  
Length Of Hospital Stay ◽  
Surgical Patients ◽  
Malignant Diseases ◽  
Hospital Stays

CONTEXT: Malnutrition is frequently observed in inpatients with malignant diseases and may contribute to longer hospital stays. OBJECTIVE: To compare the nutritional status, lymphocyte count, hemoglobin values and length of hospital stay of patients with and without malignant diseases. METHODS: This comparative study assessed indicators of nutritional status, namely body mass index, recent weight loss, lymphocyte count, hemoglobin and length of hospital stay, of 928 surgical patients with and without malignant diseases (50.2% females and 49.8% males). The chi-square test was used to compare proportions and the Mann-Whitney test was used to compare continuous measurements between two groups. The significance level was set at 5%. RESULTS: Patients with malignant diseases had longer hospital stays (P<0.0001), furthermore, a higher percentage of patients with malignant diseases had body mass index <18.5 (P<0.0001) and experienced recent weight changes (P<0.0002). Lymphocyte count also differed statistically between the groups (P = 0.0131), which lower levels were identified among patients with malignant diseases. CONCLUSION: The lymphocyte count, hemoglobin values and weight loss are important findings of nutritional depletion in patients with malignant diseases.

Sign in / Sign up

Export Citation Format

Share Document