ArticleGynecologic oncology2012
Risk factors for prolonged hospitalization after gynecologic laparoscopic surgery.
Article in Gynecologic oncology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Totally laparoscopic aortobifemoral bypass surgery in the treatment of aortoiliac occlusive disease or abdominal aortic aneurysms - a systematic review and critical appraisal of literature.Vascular health and risk management · 2017Pooled it
- Da VinciSurgical endoscopy · 2026Observational
- Predictors of prolonged admission after outpatient female pelvic reconstructive surgery.Neurourology and urodynamics · 2022Article
- Minimally invasive surgery for endometrial cancer: does operative start time impact surgical and oncologic outcomes?Gynecologic oncology · 2014Article
- Factors that Lengthen Patient Hospitalizations Following Laparoscopic Hysterectomy.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
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Authors and funding
11 authors at 4 institutions in 3 countries.
Funding
Abstract
objectiveTo determine perioperative risk factors for prolonged hospitalization after gynecologic laparoscopic surgery.
methodsData on patients who underwent gynecologic laparoscopic surgery at a single academic institution from January 2000 to January 2009 were evaluated. Patient demographics, clinical history, intraoperative data, and postoperative adverse events were analyzed. Logistic regression analysis identified significant predictors of prolonged hospitalization (hospital stay>48 h after surgery). A risk score was created from the analysis to predict prolonged hospitalization.
resultsEight hundred seven patients were included. The median body mass index was 26.5 kg/m(2) (range, 14.2-72.3 kg/m(2)), and the median age was 49 years (range, 12-88 years). Four hundred fifty-nine patients (56.9%) underwent surgery for benign conditions, and 348 (43.1%) underwent surgery for malignant disease. A total of 78 patients (9.7%) had a prolonged hospitalization. Independent predictors of prolonged hospitalization were age>54 years (P<0.0001), operative blood loss>120 mL (P<0.0001), intraoperative or postoperative blood transfusion (P=0.0237), and early postoperative complication (P<0.0001). Having a prior laparoscopy was associated with a shorter hospital stay (P=0.0276). The risk score showed how changes in perioperative factors change the risk of prolonged hospitalization.
conclusionFactors such as age, blood loss, perioperative blood transfusion, and postoperative complications are associated with prolonged length of stay after laparoscopic surgery, while having a prior laparoscopy is associated with a shorter hospital stay. A clinical scoring system can be used to estimate probability of prolonged hospitalization after gynecologic laparoscopic surgery.
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