A prospective randomized trial of day-stay only versus overnight-stay laparoscopic cholecystectomy.
Aust N Z J Surg
; 69(12): 841-3, 1999 Dec.
Article
in En
| MEDLINE
| ID: mdl-10613279
ABSTRACT
BACKGROUND:
Although the feasibility of laparoscopic cholecystectomy performed as day surgery has been established, cost and recovery time have not previously been evaluated in a prospective comparative fashion.METHODS:
Patients were randomized to day stay only or overnight stay, and a nurse assessed the former postoperatively at home. All patients were reviewed weekly or as required if problems occurred. Costing comparisons were made between the two groups using Trendstar software.RESULTS:
A total of 131 patients were evaluated after randomization (60 day-stay only patients and 71 overnight-stay patients). A total of 18.3% of the day-stay patients required in-hospital admission for nausea, vomiting, or pain, or after conversion to open operation; 18.3% of the overnight group required an extended length of stay for similar reasons. After discharge, two day-stay and three overnight-stay patients required readmission, only one had a significant complication. The mean times to return to normal activity averaged 1.8 weeks (SE 0.1 weeks) and 1.9 weeks (SE 0.1 weeks) for day-stay and overnight-stay groups, respectively (P = 0.63), and costs of $2732 (SE $76) compared to $2835 (SE $110), respectively (P = 0.94).CONCLUSIONS:
In the present randomized controlled study, day-stay management did not compromise postoperative patient outcome. In the setting of a major teaching hospital there was no cost advantage when compared to overnight-stay management.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cholecystectomy, Laparoscopic
/
Ambulatory Surgical Procedures
/
Length of Stay
Type of study:
Clinical_trials
/
Observational_studies
Limits:
Humans
Language:
En
Journal:
Aust N Z J Surg
Year:
1999
Document type:
Article
Affiliation country:
Australia