ArticleAnnals of surgery1994
The effect of complications on length of stay.
Article in Annals of surgery, 1994. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.
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Who cites it
50 citing papers in PubMed, 1 synthesis or guideline pooled it, 168 citations in OpenAlex.
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- Influence of patient's dressing on spontaneous physical activity and length of hospital stay in surgical patients.Sozial- und Praventivmedizin · 1999Trial
- Medical and psychosocial effects of early discharge after surgery for breast cancer: randomised trial.BMJ (Clinical research ed.) · 1998Trial
- Postoperative stay associated with prognosis of patients with colorectal cancer.Annals of surgery · 1996Trial
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- A Bibliometric Analysis of Acupuncture Treatment of Postoperative Complications from 2003 to 2023.Journal of multidisciplinary healthcare · 2025Review
- Association between postoperative complications and hospital length of stay: a large-scale observational study of 4,495,582 patients in the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) registry.Patient safety in surgery · 2024Article
- Multicentre positive deviance seminar to generate best practice recommendations to reduce anastomotic leak and length of stay for patients undergoing oesophagectomy.BMJ open quality · 2023Article
- Network prediction of surgical complication clusters: a prospective multicenter cohort study.Science China. Life sciences · 2023Article
- Is Frailty a Good Predictor of Postoperative Complications in Elective Abdominal Surgery?-A Single-Center, Prospective, Observational Study.Journal of personalized medicine · 2023Article
- Days alive and out of hospital after laparoscopic cholecystectomy.ANZ journal of surgery · 2022Article
- Laparoscopic versus Robotic Hepatectomy: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2022Review
- Multiple regression model to analyze the total LOS for patients undergoing laparoscopic appendectomy.BMC medical informatics and decision making · 2022Article
- Predictors of prolonged admission after outpatient female pelvic reconstructive surgery.Neurourology and urodynamics · 2022Article
- Factors Affecting Length of Stay Following 3-Column Spinal Osteotomies in Pediatric Patients.Global spine journal · 2021Article
- Prediction of Prolonged Length of Hospital Stay After Cancer Surgery Using Machine Learning on Electronic Health Records: Retrospective Cross-sectional Study.JMIR medical informatics · 2021Article
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe authors determined the effect of complications on length of stay (LOS) in surgical patients.
settingFrom 1987 to 1990, in the Professional General Surgical Unit of Royal Victoria Hospital, a retrospective survey was conducted on 5128 consecutively admitted patients with 396 different diagnosis; 228 different operations were examined.
main outcome measuresPatient LOS during a 3-year period in a general surgical ward was analyzed from hospital activity analysis, case notes, ward audit notes, and sepsis audit notes. Readmission rates for complications in patients with a short LOS were examined. Comparison were made between LOS and age, type of surgery, and complication type.
resultsPressure on beds resulting from an increased demand on surgical care decreases patient's hospital LOS; increasing age increases LOS. In general, complications double the average LOS. The authors calculated that a surgical complication can be given a numerical ratio that directly reflects the severity of the complication and increases the patient's LOS. The ration of the infective complication corresponds with the clinical severity of the complication. However, a short LOS may lead to readmission of patients for further treatment. For patients readmitted with complications, 41% had been discharged earlier than the average LOS for their diagnosis.
conclusionLength of stay is increased by complications and can be used to implement discharge planning in general surgical patients. Furthermore, a complication of their treatment can be given a numerical ratio that corresponds to the clinical severity of the complication and the increased LOS in hospital.
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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.