Implications of decreasing surgical lengths of stay

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Implications of decreasing surgical lengths of stay.

A recent study at the Prince of Wales Hospital (PoW) compared health outcomes and user satisfaction for conventional clinical pathways with a shortened pathway incorporating day of surgery admission (DOSA), early discharge and post acute care domiciliary visits for two high volume, elective surgical procedures (herniorrhaphy and laparoscopic cholecystectomy). This paper quantifies cost differen...

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Variations in lengths of stay and rates of day case surgery: implications for the efficiency of surgical management.

Variability in lengths of acute hospital stay and rates of day case surgery is shown to be a continuing pattern which occurs both between and within countries. A model of the determinants of health service activity is presented and the contribution of different factors to the observed variations is assessed. Differences in methods of funding health services are identified as a major determinant...

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Decreasing length of stay after pancreatoduodenectomy.

HYPOTHESIS Decreased length of stay (LOS) after pancreatoduodenectomy is due to multiple factors, including a lower complication rate and more efficient perioperative care for all patients, with and without complications. DESIGN A retrospective review, validation cohort. SETTING A single university hospital referral center. PATIENTS A consecutive sample of patients undergoing pancreatoduo...

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Clinical Characteristics and Outcomes of Surgical Patients with Intensive Care Unit Lengths of Stay of 90 Days and Greater

BACKGROUND The aim of this study was to evaluate the influence of prolonged length of stay in an intensive care unit (ICU) on the mortality and morbidity of surgical patients. METHODS We performed a monocentric and retrospective observational study in the surgical critical care unit of the department of surgery at the Medical Center of the University of Freiburg, Germany. Clinical data was co...

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Decreasing carotid endarterectomy length of stay at a university hospital.

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ژورنال

عنوان ژورنال: Australian Health Review

سال: 2000

ISSN: 0156-5788

DOI: 10.1071/ah000062