AI Article Synopsis
- Balancing patient safety, hospital length of stay (LOS), and costs is important, and early-week ostomy creation may lead to shorter LOS.
- A review of 180 patients indicated those who had surgery from Monday to Wednesday had an average LOS of 6.2 days, compared to 4.9 days for Thursday operations and 7.2 days for Friday surgeries.
- Longer delays in initial nursing visits for patients operated on Fridays correlated with longer LOS, likely due to a lack of ostomy teaching available over weekends.
Article Abstract
Background: Balancing patient safety with hospital length of stay (LOS) and associated cost is critically important. Subjectively, we have observed that patients undergoing ostomy creation early in the week have a shorter LOS.
Methods: We retrospectively reviewed LOS based on day of the week the operation was performed.
Results: We reviewed 180 patients undergoing minimally invasive surgery with planned ostomy. Group 1 underwent surgery on Monday to Wednesday (n = 77), Group 2 on Thursday (n = 49), and Group 3 on Friday (n = 54). The average LOS for Group 1, 2, and 3 was 6.2, 4.9, and 7.2 days, respectively. The average number of visits with ostomy nursing for Group 1, 2, and 3 was 2.7, 1.8, and 2.3, respectively. Day of initial ostomy nursing visit was significantly correlated between the delay to initial visit and LOS with Group 3 delayed most.
Conclusions: Patients with the longest delay to initial nurse visit had the longest LOS, with Friday operations being most delayed. A contributing factor may be absence of ostomy teaching over the weekend.
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| http://dx.doi.org/10.1016/j.amjsurg.2016.01.019 | DOI Listing |
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