Relationship between length of hospital stay, patient severity, transfusions and endoscopy treatment in bleeding peptic ulcer: report from the multicentre ring study group

Introduction: Peptic ulcer perforation carries high mortality and morbidity. Boey’s score is shown to be a simple scoring system to help predict morbidity and mortality. This is a prospective observational study to evaluate the applicability of Boey’s score in predicting mortality and morbidity in Nepalese patients. Methods: This study was conducted in the Dept. of Surgery, Nepal Medical College and Teaching Hospital (NMCTH), Attarkhel, Jorpati between 1st of July 2012 to 30th June 2019 over a period of 7 years. This was a prospective observational study. All patients who underwent laparotomy for suspected peptic ulcer perforation peritonitis were included in the study. Results: Fourty-seven patients were included in the study. Male patients outnumbered females by a ratio of almost 4:1. Eighteen (38%) patients had Boey’s score of 1, and 7 (15 %) patients had a Boey’s score of 3. Overall postoperative mortality was 7 (15%). Boey’s score predicted morbidity and mortality with a p-value of <0.01. The length of hospital stay was also more in patients with a higher score and it was statistically significant. Conclusions: Boey’s score is both easy and effective in predicting postoperative morbidity, mortality and length of hospital stay.

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Surgery for Perforated Peptic Ulcer: Is Laparoscopy a New Paradigm?

Minimally Invasive Surgery ◽

10.1155/2021/8828091 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

André Pereira ◽

Hugo Santos Sousa ◽

Diana Gonçalves ◽

Eduardo Lima da Costa ◽

André Costa Pinho ◽

...

Keyword(s):

Peptic Ulcer ◽

Hospital Stay ◽

Laparoscopic Repair ◽

Laparoscopic Approach ◽

Oral Intake ◽

Length Of Hospital Stay ◽

Perforated Peptic Ulcer ◽

Open Group ◽

New Paradigm ◽

Female Ratio

Introduction. Laparoscopic repair of perforated peptic ulcer (PPU) remains controversial mainly due to its safety and applicability in critically ill patients. The aim of this study is to compare the outcomes of laparoscopy versus laparotomy in the treatment of PPU. Methods. Single-institutional, retrospective study of all patients submitted to surgical repair of PPU between 2012 and 2019. Results. During the study period, 169 patients underwent emergent surgery for PPU. A laparoscopic approach was tried in 60 patients and completely performed in 49 of them (conversion rate 18.3%). The open group was composed of 120 patients (included 11 conversions). Comparing the laparoscopic with the open group, there were significant differences in gender (male/female ratio 7.2/1 versus 2.2/1, respectively; p = 0.009 ) and in the presence of sepsis criteria (12.2% versus 38.3%, respectively; p = 0.001 ), while the Boey score showed no differences between the two groups. The operative time was longer in the laparoscopic group (median 100’ versus 80’, p = 0.01 ). Laparoscopy was associated with few early postoperative complications (18.4% versus 41.7%, p = 0.004 ), mortality (2.0% versus 14.2%; p = 0.02 ), shorter hospital stay (median 6 versus 7 days, p = 0.001 ), and earlier oral intake (median 3 versus 4 days, p = 0.021 ). Conclusion. Laparoscopic repair of PPU may be considered the procedure of choice in patients without sepsis criteria if expertise and resources are available. This kind of approach is associated with a shorter length of hospital stay and earlier oral intake. In patients with sepsis criteria, more data are required to access the safety of laparoscopy in the treatment of PPU.

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Length of hospital stay in IBD: report from the multicentre ring study group

The American Journal of Gastroenterology ◽

10.1016/s0002-9270(03)01490-4 ◽

2003 ◽

Vol 98 (9) ◽

pp. S238

Author(s):

M SONCINI

Keyword(s):

Hospital Stay ◽

Length Of Hospital Stay ◽

Study Group

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Clinical and Economic Impact of Previous Bariatric Surgery on Liver Transplantation: a Nationwide, Population-Based Retrospective Study

Obesity Surgery ◽

10.1007/s11695-021-05684-4 ◽

2021 ◽

Author(s):

Antonio Iannelli ◽

Julie Bulsei ◽

Tarek Debs ◽

Albert Tran ◽

Andrea Lazzati ◽

...

Keyword(s):

Bariatric Surgery ◽

Hospital Stay ◽

Group Versus ◽

Postoperative Mortality ◽

Length Of Hospital Stay ◽

Control Group ◽

Study Group ◽

Obese Patients ◽

History Of ◽

The Impact

Abstract Purpose The present study aims to determine the impact of previous bariatric surgery (BS) on the length of hospital stay; the incidence of mortality, re-transplantation, and re-hospitalization after LT; and the related economic costs, through the analysis of the French National Health Insurance Information System. Materials and Methods All patients aged > 18 years who underwent LT in France in the period from 2010 to 2019 were included. Thirty-nine patients with a history of BS (study group) were compared with 1798 obese patients without previous BS (control group). Results At the time of LT, patients with a history of BS were significantly younger than those of the control group and had lower Charlson comorbidity index. Female sex was significantly more represented in the study group. No significant differences were detected between the two groups regarding the postoperative mortality rate after LT (10.3% in the study group versus 8.0% in the control group), long-term mortality (0.038 versus 0.029 person-year of follow-up, respectively), re-transplantation (adjusted hazard ratio (HR) = 2.15, p = 0.2437), re-hospitalization (adjusted analysis, IRR = 0.93, p = 0.7517), and costs of LT hospitalization (73,515 € in the study group versus 65,878 € in the control group). After 1:2 propensity score matching, the duration of the LT hospital stay was significantly longer in the study group (58.3 versus 33.4 days, p = 0.0172). Conclusion No significant differences were detected between patients with previous BS versus obese patients without history of BS undergoing LT concerning the rates of mortality, re-LT, re-hospitalization after LT, and costs of hospitalization and re-hospitalizations. Graphical abstract

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Drainage or nondrainage for single-level anterior cervical discectomy with fusion and plating

10.21203/rs.2.15787/v1 ◽

2019 ◽

Author(s):

Pengfei Li ◽

Dean Chou ◽

Yuqiang Wang ◽

Limin Wang ◽

Ganggang Zhang ◽

...

Keyword(s):

Hospital Stay ◽

Epidural Hematoma ◽

Japanese Orthopaedic Association ◽

Length Of Hospital Stay ◽

Anterior Cervical Discectomy ◽

Control Group ◽

Study Group ◽

Postoperative Fever ◽

Cervical Discectomy ◽

Single Level

Abstract Background Currently, conventional placement of natural pressure drainage after single-level anterior cervical discectomy with fusion and plating (ACDF) is used clinically to prevent complications such as symptomatic epidural hematoma and incision infection. Nevertheless, a literature review reported that there is no uniform standard for whether to place drainage after single-level ACDF surgery, and comparative studies on this subject are rare.Methods A prospective study of 100 patients who underwent single-level ACDF from January 2017 to June 2018 and met the selection criteria were randomly divided into the control group (45 patients with drainage after surgery) and the study group (48 patients without drainage after surgery). The same types of preoperative preparation, surgical technique and postoperative management were used in the two groups. The perioperative indicators, postoperative clinical efficacy and complications were compared between the two groups.Results The preoperative and postoperative Japanese Orthopaedic Association (JOA) scores, Visual Analogue Scale (VAS) scores and Neck Dysfunction Index (NDI) scores in the two groups were significantly different (P < 0.05). The length of hospital stay in the study group was significantly shorter than that in the control group (P < 0.05). There were no significant differences in postoperative fever, surgical site infection, symptomatic epidural hematoma, rate of incision healing, or complications between the two groups (P>0.05).Conclusions The safety and clinical outcome of patients with drainage after single-level ACDF were consistent with those of nondrainage patients. Additionally, nondrainage after single-level ACDF resulted in a decreased length of hospital stay and lessened the associated expenses.

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Predictive Model for Length of Hospital Stay of Patients Surviving Surgery for Perforated Peptic Ulcer

Journal of the Formosan Medical Association ◽

10.1016/s0929-6646(09)60385-5 ◽

2009 ◽

Vol 108 (8) ◽

pp. 644-652 ◽

Cited By ~ 3

Author(s):

Chin-Hsien Li ◽

Ming-Jong Bair ◽

Wen-Hsiung Chang ◽

Shou-Chuan Shih ◽

Shee-Chan Lin ◽

...

Keyword(s):

Peptic Ulcer ◽

Hospital Stay ◽

Predictive Model ◽

Length Of Hospital Stay ◽

Perforated Peptic Ulcer

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Effects of umbilical cord milking on premature neonates’ and mothers’ outcomes

Journal of Nursing Education and Practice ◽

10.5430/jnep.v9n11p1 ◽

2019 ◽

Vol 9 (11) ◽

pp. 1

Author(s):

Nahed Thabet Mohamed ◽

Atyat Mohammed Hassan ◽

Heba Mostafa Mohamed ◽

Amal A. Abdelhafez ◽

Eman Abd Elaziz Mohamed ◽

...

Keyword(s):

Blood Transfusion ◽

Hospital Stay ◽

Umbilical Cord ◽

Length Of Hospital Stay ◽

Structured Interview ◽

University Hospital ◽

Control Group ◽

Study Group ◽

Premature Neonates ◽

Umbilical Cord Milking

Background: Umbilical Cord Milking (UCM) is a safe and likely technique for both the mothers and their neonates which improve the neonatal outcomes. The aim of the study was to assess the effects of umbilical cord milking on premature neonates' and mothers' outcomes.Methods: Design: Quasi-experimental research design was utilized. Setting: Emergency and Labor Unit of Women's Health University Hospital and Neonatal Intensive Care Unit (NICU) in Assiut University Children Hospital were the setting which the study was implemented. Subjects: It included 80 mothers and their premature neonates. The subjects were divided randomly into two groups (40 premature neonates who were received the UCM as a study group and 40 premature neonates as a control group who received the Immediate Cord Clamping [ICC]). Tool: One structured interview questionnaire was designed especially for this study. It included two parts: Personal and clinical data of the studied mothers and premature neonates.Results: The Hemoglobin (Hb) level significantly increased in the study group when compared to the control group within 6 hours of birth (12.11 vs. 10.61) and at 36-48 hours after UCM (12.27 vs. 11.32). Also, UCM had significantly improved the need for blood transfusion, death rate, and length of hospital stay among premature neonates in the study group.Conclusions and recommendations: UCM improved preterm neonates' outcomes as increasing Hb level, less need for blood transfusion, and decline incidence of death, lowers length of hospital stay. Recommendations: Increasing awareness of neonatology, pediatric, and obstetric nurses about benefits and technique of UCM through health education program.

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