Shorter hospital stay associated with fastrack postoperative care pathways and laparoscopic intestinal resection are not associated with increased physical activity

M. Zutshi, Conor P. Delaney, A. J. Senagore, V. W. Fazio

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Objective. Recent prospective studies have shown that 'fast track' postoperative care protocols (FT) can reduce hospitalization after major intestinal surgery to 4.5 days, as compared to the 7-10 days with traditional management (TR) and 2.5 days after laparoscopic surgery (LC). We used computerized actigraphy (CA) to evaluate physical activity using TR, FT and LC approaches. Methods. Fifteen patients undergoing intestinal resection by LC, TR and FT were recruited. CA devices were placed on the wrist and ankle of each patient from day1 until hospital discharge. Intra-patient and intergroup analyses were performed using 24 h evaluations, and periods from 0800-2000h. Results are presented for, level of activity (LOA; activity counts per minute), activity index (AI;% epochs with activity) and acceleration index (ACI; change in activity rate during analysis period) for 0800-2000 h. Results. Levels of activity measured by wrist and ankle CA devices for the three different care protocols were: LC, 6263 ± 8008 (wrist), 1640 ± 3795 (ankle); FT 7874 ± 8550 (wrist), 2153 ± 4838 (ankle); LC 8526 ± 9917 (wrist), 2326 ± 4905 (ankle). Length of hospital stay was significantly shorter in LC than FT and TR patients (P <0.01). There was no significant increase in wrist or ankle LOA for FT or LC patients. Similarly, there was no difference in AI or ACI. Conclusion. Although CA is an easily standardized method of evaluating physical activity after major abdominal surgery, no difference can be demonstrated between activity levels in patients managed by differing care pathways. Reductions in stay may be associated with factors other than a change in the level of physical activity after surgery.

Original languageEnglish (US)
Pages (from-to)477-480
Number of pages4
JournalColorectal Disease
Volume6
Issue number6
DOIs
StatePublished - Nov 2004
Externally publishedYes

Fingerprint

Postoperative Care
Laparoscopy
Wrist
Length of Stay
Ankle
Actigraphy
Exercise
Equipment and Supplies
Managed Care Programs
Hospitalization
Demography
Prospective Studies

Keywords

  • Computerized actigraphy
  • Length of stay
  • Physical activity
  • Postoperative care

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Shorter hospital stay associated with fastrack postoperative care pathways and laparoscopic intestinal resection are not associated with increased physical activity. / Zutshi, M.; Delaney, Conor P.; Senagore, A. J.; Fazio, V. W.

In: Colorectal Disease, Vol. 6, No. 6, 11.2004, p. 477-480.

Research output: Contribution to journalArticle

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