Colonic Surgery with Accelerated Rehabilitation or Conventional Care

Linda Basse, Jens Erik Thorbøl, Kristine Løssl, Henrik Kehlet, Anthony Senagore

Research output: Contribution to journalArticle

331 Citations (Scopus)

Abstract

BACKGROUND: For patients undergoing colonic surgery, the postoperative hospital stay is usually 6 to 10 days, and the morbidity rate is 15 to 20 percent. Fast-track rehabilitation programs have reduced the hospital stay to 2 to 3 days. The aim of this study was to evaluate the postoperative outcome after colonic resection with conventional care compared with fast-track multimodal rehabilitation. METHODS: One hundred thirty consecutive patients receiving conventional care (group 1) in one hospital were compared with 130 consecutive patients receiving multimodal, fast-track rehabilitation (group 2) in another hospital. Outcomes were time to first defecation after surgery, postoperative hospital stay, and morbidity during the first postoperative month. RESULTS: Median age was 74 years (group 1) and 72 years (group 2). American Society of Anesthesiologists (ASA) score was significantly higher in group 2 (P <0.05). Defecation occurred on day 4.5 in group 1 and day 2 in group 2 (P <0.05). Median hospital stay was 8 days in group 1 and 2 days in group 2 (P <0.05). The use of a nasogastric tube was longer in group 1 (P <0.05). The overall complication rate (35 patients) was lower in group 2 (P <0.05), especially cardiopulmonary complications (5 patients; P <0.01). Readmission was necessary in 12 percent of cases for group 1 and 20 percent in group 2 (P > 0.05). CONCLUSIONS: Time to first defecation, hospital stay, and morbidity may be reduced after colonic resection with fast-track multimodal rehabilitation.

Original languageEnglish (US)
Pages (from-to)271-278
Number of pages8
JournalDiseases of the Colon and Rectum
Volume47
Issue number3
DOIs
StatePublished - Mar 2004
Externally publishedYes

Fingerprint

Length of Stay
Rehabilitation
Defecation
Morbidity

Keywords

  • Fast track
  • Morbidity
  • Postoperative
  • Rehabilitation
  • Surgery

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Basse, L., Thorbøl, J. E., Løssl, K., Kehlet, H., & Senagore, A. (2004). Colonic Surgery with Accelerated Rehabilitation or Conventional Care. Diseases of the Colon and Rectum, 47(3), 271-278. https://doi.org/10.1007/s10350-003-0055-0

Colonic Surgery with Accelerated Rehabilitation or Conventional Care. / Basse, Linda; Thorbøl, Jens Erik; Løssl, Kristine; Kehlet, Henrik; Senagore, Anthony.

In: Diseases of the Colon and Rectum, Vol. 47, No. 3, 03.2004, p. 271-278.

Research output: Contribution to journalArticle

Basse, L, Thorbøl, JE, Løssl, K, Kehlet, H & Senagore, A 2004, 'Colonic Surgery with Accelerated Rehabilitation or Conventional Care', Diseases of the Colon and Rectum, vol. 47, no. 3, pp. 271-278. https://doi.org/10.1007/s10350-003-0055-0
Basse, Linda ; Thorbøl, Jens Erik ; Løssl, Kristine ; Kehlet, Henrik ; Senagore, Anthony. / Colonic Surgery with Accelerated Rehabilitation or Conventional Care. In: Diseases of the Colon and Rectum. 2004 ; Vol. 47, No. 3. pp. 271-278.
@article{3c7abae98a4b477697784acd89d75b8c,
title = "Colonic Surgery with Accelerated Rehabilitation or Conventional Care",
abstract = "BACKGROUND: For patients undergoing colonic surgery, the postoperative hospital stay is usually 6 to 10 days, and the morbidity rate is 15 to 20 percent. Fast-track rehabilitation programs have reduced the hospital stay to 2 to 3 days. The aim of this study was to evaluate the postoperative outcome after colonic resection with conventional care compared with fast-track multimodal rehabilitation. METHODS: One hundred thirty consecutive patients receiving conventional care (group 1) in one hospital were compared with 130 consecutive patients receiving multimodal, fast-track rehabilitation (group 2) in another hospital. Outcomes were time to first defecation after surgery, postoperative hospital stay, and morbidity during the first postoperative month. RESULTS: Median age was 74 years (group 1) and 72 years (group 2). American Society of Anesthesiologists (ASA) score was significantly higher in group 2 (P <0.05). Defecation occurred on day 4.5 in group 1 and day 2 in group 2 (P <0.05). Median hospital stay was 8 days in group 1 and 2 days in group 2 (P <0.05). The use of a nasogastric tube was longer in group 1 (P <0.05). The overall complication rate (35 patients) was lower in group 2 (P <0.05), especially cardiopulmonary complications (5 patients; P <0.01). Readmission was necessary in 12 percent of cases for group 1 and 20 percent in group 2 (P > 0.05). CONCLUSIONS: Time to first defecation, hospital stay, and morbidity may be reduced after colonic resection with fast-track multimodal rehabilitation.",
keywords = "Fast track, Morbidity, Postoperative, Rehabilitation, Surgery",
author = "Linda Basse and Thorb{\o}l, {Jens Erik} and Kristine L{\o}ssl and Henrik Kehlet and Anthony Senagore",
year = "2004",
month = "3",
doi = "10.1007/s10350-003-0055-0",
language = "English (US)",
volume = "47",
pages = "271--278",
journal = "Diseases of the Colon and Rectum",
issn = "0012-3706",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Colonic Surgery with Accelerated Rehabilitation or Conventional Care

AU - Basse, Linda

AU - Thorbøl, Jens Erik

AU - Løssl, Kristine

AU - Kehlet, Henrik

AU - Senagore, Anthony

PY - 2004/3

Y1 - 2004/3

N2 - BACKGROUND: For patients undergoing colonic surgery, the postoperative hospital stay is usually 6 to 10 days, and the morbidity rate is 15 to 20 percent. Fast-track rehabilitation programs have reduced the hospital stay to 2 to 3 days. The aim of this study was to evaluate the postoperative outcome after colonic resection with conventional care compared with fast-track multimodal rehabilitation. METHODS: One hundred thirty consecutive patients receiving conventional care (group 1) in one hospital were compared with 130 consecutive patients receiving multimodal, fast-track rehabilitation (group 2) in another hospital. Outcomes were time to first defecation after surgery, postoperative hospital stay, and morbidity during the first postoperative month. RESULTS: Median age was 74 years (group 1) and 72 years (group 2). American Society of Anesthesiologists (ASA) score was significantly higher in group 2 (P <0.05). Defecation occurred on day 4.5 in group 1 and day 2 in group 2 (P <0.05). Median hospital stay was 8 days in group 1 and 2 days in group 2 (P <0.05). The use of a nasogastric tube was longer in group 1 (P <0.05). The overall complication rate (35 patients) was lower in group 2 (P <0.05), especially cardiopulmonary complications (5 patients; P <0.01). Readmission was necessary in 12 percent of cases for group 1 and 20 percent in group 2 (P > 0.05). CONCLUSIONS: Time to first defecation, hospital stay, and morbidity may be reduced after colonic resection with fast-track multimodal rehabilitation.

AB - BACKGROUND: For patients undergoing colonic surgery, the postoperative hospital stay is usually 6 to 10 days, and the morbidity rate is 15 to 20 percent. Fast-track rehabilitation programs have reduced the hospital stay to 2 to 3 days. The aim of this study was to evaluate the postoperative outcome after colonic resection with conventional care compared with fast-track multimodal rehabilitation. METHODS: One hundred thirty consecutive patients receiving conventional care (group 1) in one hospital were compared with 130 consecutive patients receiving multimodal, fast-track rehabilitation (group 2) in another hospital. Outcomes were time to first defecation after surgery, postoperative hospital stay, and morbidity during the first postoperative month. RESULTS: Median age was 74 years (group 1) and 72 years (group 2). American Society of Anesthesiologists (ASA) score was significantly higher in group 2 (P <0.05). Defecation occurred on day 4.5 in group 1 and day 2 in group 2 (P <0.05). Median hospital stay was 8 days in group 1 and 2 days in group 2 (P <0.05). The use of a nasogastric tube was longer in group 1 (P <0.05). The overall complication rate (35 patients) was lower in group 2 (P <0.05), especially cardiopulmonary complications (5 patients; P <0.01). Readmission was necessary in 12 percent of cases for group 1 and 20 percent in group 2 (P > 0.05). CONCLUSIONS: Time to first defecation, hospital stay, and morbidity may be reduced after colonic resection with fast-track multimodal rehabilitation.

KW - Fast track

KW - Morbidity

KW - Postoperative

KW - Rehabilitation

KW - Surgery

UR - http://www.scopus.com/inward/record.url?scp=1442348778&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=1442348778&partnerID=8YFLogxK

U2 - 10.1007/s10350-003-0055-0

DO - 10.1007/s10350-003-0055-0

M3 - Article

C2 - 14991487

AN - SCOPUS:1442348778

VL - 47

SP - 271

EP - 278

JO - Diseases of the Colon and Rectum

JF - Diseases of the Colon and Rectum

SN - 0012-3706

IS - 3

ER -