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首页> 外文期刊>Anesthesia and Analgesia: Journal of the International Anesthesia Research Society >Assessing Rapidity of Recovery After Cancer Surgeries in a Single Overnight Short-Stay Setting
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Assessing Rapidity of Recovery After Cancer Surgeries in a Single Overnight Short-Stay Setting

机译：在一夜一夜之间短暂的环境中评估癌症手术后的恢复速度

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BACKGROUND: In the short-stay surgery setting, where patients remain in hospital for a single overnight at most, it is unclear as to whether postoperative length of stay is a good surrogate for assessing rapidity of recovery. We hypothesized that length of stay would be a function of time of surgery and would be a poorer marker of recovery than time of discharge. METHODS: A cohort of 891 mastectomy and 538 prostatectomy patients had a planned single overnight stay after surgery at an ambulatory surgical hospital during 2016. The relationship between surgical start time and postoperative length of stay or discharge time was assessed. RESULTS: For both mastectomy and prostatectomy patients, 75% of patients were discharged between 10 am and 12 noon and the median postoperative length of stay was 20 hours. There was a strong association between time of surgery and calculated length of stay. For mastectomies, having a surgery which begins at 6 pm vs 8 am results in an estimated decrease of 8.8 hours (95% CI, 8.3-9.3) in postoperative length of stay but only 1.2 hours (95% CI, 0.77-1.6) later time of discharge. For prostatectomies, the estimated difference is a decrease of 6.9 hours (95% CI, 6.4-7.4) for postoperative length of stay and 2.5 hours (95% CI, 2.0-3.0) later discharge time. CONCLUSIONS: Postoperative length of stay is a poor outcome measure in a short-stay setting. When assessing rapidity of recovery for single overnight stay patients, we advocate the use of discharge time with adjustment for surgery start time. The effect of surgery start time on both postoperative length of stay and discharge time should be investigated to ascertain which is best to assess rapidity of recovery in other ambulatory care settings where recovery involves a single overnight stay.
机译：背景：在短期休息手术环境中，患者最多一夜之间留在医院，目前尚不清楚术后住院时间是否是评估恢复速度的良好替代品。我们假设停留时间是手术时间的函数，并且是较差的恢复标记而不是放电时间。方法：在2016年，在206年期间，891款乳房切除术和538名前列腺切除术患者的群组在手术中进行了计划单次夜间停留。进行评估外科开始时间和术后休息时间的关系。结果：对于乳房切除术和前列腺切除术患者，75％的患者在上午10点至晚上12点左右排出，术后术后长度为20小时。手术时间和计算的逗留时间之间存在强烈关联。对于乳房切除术，术后6点开始的手术，术后6.8小时（95％CI，8.3-9.3）的估计降低，但只有1.2小时（95％CI，0.77-1.6）排放时间。对于前列腺切除术，估计差异为术后停留长度和2.5小时（95％CI，2.0-3.0）以后降低6.9小时（95％CI，6.4-7.4）。结论：术后逗留时间是在短暂停留环境中的结果差。在评估单夜间患者的恢复恢复时，我们主张使用放电时间与调整进行手术开始时间。应研究手术起始时间对术后停留和放电时间的影响，以确定哪个是最佳评估其他动态护理环境中的恢复的快速性，其中恢复涉及单个过夜停留。

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