Enhanced recovery after surgery protocol and the Factors associated with Prolonged Hospitalization in major Gynecologic surgery at Suratthani Cancer Hospital
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Abstract
Objectives: To evaluate the effectiveness and safety of our adopted enhanced recovery after surgery (ERAS) program for elective major gynecologic surgery at Suratthani cancer hospital and identified the factors contributing to prolonged hospitalization.
Materials and Methods: In this retrospective study, all patients who underwent major gynecologic surgery at Suratthani cancer hospital from July 2016 to December 2020 were included. We defined prolonged length of stayed group as those above medians of length of hospitalization and identified the risk factors that associated to this group.
Results: Two hundred and fifty patients who underwent major gynecologic surgery at Suratthani cancer hospital, were included. The median length of post-operative hospital stay was 3 days. And 86 (34.4%) patients have more than 3 days of post-operative hospital stay. The factors that associated with prolonged hospital stay were high body mass index (BMI), high American Society of Anesthesiologists (ASA) classification, disease of cervix, Radical hysterectomy with pelvic node dissection (RHND) operation, extremely blood loss, prolonged operative time and complication from surgery.
Conclusion: Our ERAS program showed some potentials of patient care in major gynecologic surgery. The risk factors that associated with prolonged hospital stay in this study were mostly non-modifiable. This result will be used to improve our ERAS program and promote the use the ERAS program in major gynecologic surgery.
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