title: Identifying Patients Eligible for a Short Hospital Stay After Stoma Closure.
abstract: BACKGROUND
  The implementation of enhanced recovery programmes after elective colorectal surgery has dramatically reduced the length of stay. The objective of this study was to assess the selection of good candidates for short post-operative stay (GCSS) in the context of stoma closure.
  
  
  METHODS
  Between January 2011 and December 2014, 222 patients were included in the present retrospective, single-center study. The primary endpoint was the proportion of GCSS. We also identified factors associated with GCSS status and built a predictive score.
  
  
  RESULTS
  The study population was predominantly male (n = 122, 55%). 60% of the patients had undergone ileostomy and 85% had undergone hand-sewn anastomosis. The postoperative ileus rate was 5% and the readmission rate was 3.5%. 41% (n = 92) of the study population were considered to be GCSS. In a multivariate analysis, age under 50 (odds ratio (OR) [95% confidence interval (CI)] = 2.8 [1.2-5.6], p = 0.008), the absence of vascular comorbidities (OR [95%CI] = 3.2 [1.3-12.3]; p = 0.006) and stapled anastomosis (OR: 4.2, 95%CI: 1.1-17.3, p = 0.03) were associated with GCSS status. Predictive scores of 0, 1, 2, and 3 were associated with GCSS rates of 20%, 18%, 44%, and 62%, respectively (p < 0.001).
  
  
  CONCLUSIONS
  In the context of stoma closure, 41% of patients were GCSS.
authors.affiliation: a Department of Digestive and Oncological Surgery , Amiens University Hospital , Amiens , France.|b INSERM U1088 , Amiens , France.|c Jules Verne University of Picardie , Amiens , France.
authors.forename: Charles
authors.initials: C
authors.lastname: Sabbagh
authors.affiliation: a Department of Digestive and Oncological Surgery , Amiens University Hospital , Amiens , France.|b INSERM U1088 , Amiens , France.
authors.forename: Cyril
authors.initials: C
authors.lastname: Cosse
authors.affiliation: a Department of Digestive and Oncological Surgery , Amiens University Hospital , Amiens , France.
authors.forename: Lionel
authors.initials: L
authors.lastname: Rebibo
authors.affiliation: a Department of Digestive and Oncological Surgery , Amiens University Hospital , Amiens , France.
authors.forename: Hanane
authors.initials: H
authors.lastname: Hariz
authors.affiliation: a Department of Digestive and Oncological Surgery , Amiens University Hospital , Amiens , France.|c Jules Verne University of Picardie , Amiens , France.|d EA4294, Jules Verne University of Picardie , Amiens , France.|e Clinical Research Centre , Amiens University Hospital , Amiens , France.
authors.forename: Abdennaceur
authors.initials: A
authors.lastname: Dhahri
authors.affiliation: a Department of Digestive and Oncological Surgery , Amiens University Hospital , Amiens , France.|c Jules Verne University of Picardie , Amiens , France.|d EA4294, Jules Verne University of Picardie , Amiens , France.|e Clinical Research Centre , Amiens University Hospital , Amiens , France.
authors.forename: Jean Marc
authors.initials: JM
authors.lastname: Regimbeau
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D017558:Elective Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D005260:Female; D006801:Humans; D007081:Ileostomy / Q000009:adverse effects / Q000379:methods; D045823:Ileus / Q000453:epidemiology / Q000209:etiology; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010359:Patient Readmission / Q000706:statistics & numerical data; D018579:Patient Selection; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology; D012189:Retrospective Studies; D013528:Surgical Staplers; D054047:Surgical Stomas; D055815:Young Adult
keywords: peristomal incision; short stay; stoma closure