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Prospective Evaluation of Discharge Trends after Colorectal Surgery within an Enhanced Recovery after Surgery Pathway
What is already known:
Length of hospital stay is one of the most common primary end points seen in ERAS studies. A few studies have investigated the time to being medically fit for discharge rather than hospital length of stay. However there is often a delay between being medically fit for discharge and actually going home. This study seeks to investigate the factors behind this disparity.
What this paper adds:
Only 30% of all patients were discharged from hospital on the same day that they met all the discharge criteria. Overall patients were discharged on average 2 days after meeting the criteria. Interestingly the main reason for this was a general feeling that the patient was being discharged too soon. For example if a patient met discharge criteria sooner than the pre-operative planned target discharge date.
Other main causes were organisational and then patient being unwilling to go home. The authors felt that discharge planning should be based on meeting specific discharge criteria rather than a generic pre-planned discharge date.
Chris Jones, Guildford. @chrisnjones
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