title: Predictive Factors for a Long Hospital Stay in Patients Undergoing Laparoscopic Cholecystectomy.
abstract: Background. Although the advantages of laparoscopic cholecystectomy (LC) over open cholecystectomy are immediately obvious and appreciated, several patients need a postoperative hospital stay of more than 24 hours. Thus, the predictive factors for this longer stay need to be investigated. The aim of this study was to identify the causes of a long hospital stay after LC.Methods. This is a retrospective cohort study with 500 successful elective LC patients being included in the analysis. Short hospital stay was defined as being discharged within 24 hours after the operation, whereas long hospital stay was defined as the need for a stay of more than 24 hours after the operation.Results. Using multivariable analysis, ten independent predictive factors were identified for a long hospital stay. These included patients with cirrhosis, patients with a history of previous acute cholecystitis, cholangitis, or pancreatitis, patients on anticoagulation with warfarin, patients with standard-pressure pneumoperitoneum, patients who had been given metoclopramide as an intraoperative antiemetic drug, patients who had been using abdominal drain, patients who had numeric rating scale for pain > 3, patients with an oral analgesia requirement > 2 doses, complications, and private ward admission.Conclusions. LC difficulties were important predictive factors for a long hospital stay, as well as medication and operative factors.
authors.affiliation: Clinical Epidemiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand; Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
authors.forename: Wasana
authors.initials: W
authors.lastname: Ko-Iam
authors.affiliation: Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
authors.forename: Trichak
authors.initials: T
authors.lastname: Sandhu
authors.affiliation: Department of Anesthesiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
authors.forename: Sahattaya
authors.initials: S
authors.lastname: Paiboonworachat
authors.affiliation: Department of Surgery, Bumrungrad International Hospital, Bangkok, Thailand.
authors.forename: Paisal
authors.initials: P
authors.lastname: Pongchairerks
authors.affiliation: Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
authors.forename: Anon
authors.initials: A
authors.lastname: Chotirosniramit
authors.affiliation: Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
authors.forename: Narain
authors.initials: N
authors.lastname: Chotirosniramit
authors.affiliation: Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
authors.forename: Kamtone
authors.initials: K
authors.lastname: Chandacham
authors.affiliation: Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
authors.forename: Tidarat
authors.initials: T
authors.lastname: Jirapongcharoenlap
authors.affiliation: Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
authors.forename: Sunhawit
authors.identifier: 0000-0002-9126-089X
authors.initials: S
authors.lastname: Junrungsee