Evidence map›Paper›PMID 39301364›Full record

ArticleCureus2024

Same-Day Discharge After a Minimally Invasive Colectomy: A Successful Approach to Patient Selection.

Daniel Aillaud-De-Uriarte, Luis A Hernandez-Flores, Andrea Hernandez-Moreno, Philip N Zachariah, Ria Bhatia, Jorge Rodriguez-Gaytan, Diego Marines-Copado

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PubMed Full text at PMC Publisher
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Daniel Aillaud-De-UriarteDivision of Colon and Rectal Surgery, Houston Methodist Willowbrook Hospital, Houston, USA.
Luis A Hernandez-FloresDivision of Colon and Rectal Surgery, Houston Methodist Willowbrook Hospital, Houston, USA.
Andrea Hernandez-MorenoDivision of Colon and Rectal Surgery, Houston Methodist Willowbrook Hospital, Houston, USA.
Philip N ZachariahDepartment of Gastroenterology, Drexel University College of Medicine, Philadelphia, USA.
Ria BhatiaDepartment of Epidemiology and Biostatistics, The University of Texas at Austin, Austin, USA.
Jorge Rodriguez-GaytanDivision of Colon and Rectal Surgery, Houston Methodist Willowbrook Hospital, Houston, USA.
Diego Marines-CopadoDivision of Colon and Rectal Surgery, Houston Methodist Willowbrook Hospital, Houston, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnhanced Recovery After Surgery (ERAS) protocols have been shown to decrease inpatient length of stay (LOS) and improve surgical outcomes in elective abdominal colorectal procedures. Discharging a patient home after a minimally invasive colectomy on the same calendar day is a multifactorial decision that takes into account the patient's decision and baseline condition, social factors, intraoperative findings, and postoperative recovery status. The aim of this study is to evaluate the outcomes of same-day discharge (SDD) following minimally invasive colectomy within an ERAS protocol in a community hospital setting in Houston, Texas.

methodsIn this retrospective cohort study, all consecutive elective cases were performed by a single surgeon from April 2022 to April 2023. This retrospective analysis aims to report a single senior surgeon's experience of the safety, feasibility, and benefits of same-day discharge after minimally invasive colectomy in preselected patients. Same-day discharge was defined as a discharge on the same calendar day without an overnight stay. Differences between specific groups were compared using the Fisher's exact test and Mann-Whitney U test.

resultsOf 86 non-emergent colectomies, 41 patients (47.7%) were successfully discharged on the same day. The median age of the patients was 63.50 years (interquartile range (IQR) 18). The cohort included 37 females (43%) and 49 males (57%). The median LOS was one day. The median operating time was 148.50 minutes (IQR 68.25). The median intraoperative fluid usage was 1500 mL (IQR 36.25), and the median estimated blood loss (EBL) was 25 mL (IQR 36.25). No readmissions among the SDD patients (0%), while three readmissions were reported in patients who stayed overnight (3.4%).  Conclusion: Same-day discharge after a minimally invasive colectomy is feasible when there is a well-established ERAS protocol and there is adequate education for patients and staff. Adequate patient selection is crucial. Patients with multiple comorbidities and a lack of a support network are not suitable candidates.

Indexed as

colectomycolorectal surgerypain managementreadmissionsame-day discharge

Identifiers

PMID39301364
PMCPMC11411116

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.