Readmission rates after a planned hospital stay of 2 versus 3 days in fast-track colonic surgery
Article first published online: 2 MAR 2007
Copyright © 2007 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
British Journal of Surgery
Volume 94, Issue 7, pages 890–893, July 2007
How to Cite
Andersen, J., Hjort-Jakobsen, D., Christiansen, P. S. and Kehlet, H. (2007), Readmission rates after a planned hospital stay of 2 versus 3 days in fast-track colonic surgery. Br J Surg, 94: 890–893. doi: 10.1002/bjs.5669
- Issue published online: 15 JUN 2007
- Article first published online: 2 MAR 2007
- Manuscript Accepted: 2 FEB 2007
Initial programmes of fast-track open colonic surgery with a planned 2-day postoperative hospital stay have had a high readmission rate (about 20 per cent). The aim of this large, consecutive series was to compare readmission rates after a fast-track open colonic surgery programme with a planned hospital stay of 2 versus 3 days.
The study included 541 consecutive colonic resections from one surgical department with a structured care programme, including well defined discharge criteria, between April 1997 and December 2005. The planned hospital stay was increased from 2 to 3 days from August 2004. All patients were examined 8 and 30 days after surgery.
Readmission rates fell from 20·1 per cent in 408 patients with a planned 2-day hospital stay (period 1) to 11·3 per cent in 133 patients with a planned 3-day hospital stay (period 2) (P < 0·020). Median length of primary hospital stay was 2 and 3 days, median stay after readmission was 5 and 5·5 days, and median (mean) total stay was 3 (5·6) and 3 (5·7) days in periods 1 and 2 respectively. The readmission rate in period 2 was lower because there were fewer readmissions for short-term observation or social reasons. There was no difference in type and incidence of morbidity between the two periods.
Readmission after fast-track open colonic resection was reduced by planning discharge 3 instead of 2 days after surgery, with the same discharge criteria. Copyright © 2007 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.