Key result
A criteria-led discharge checklist identified readiness for discharge 0.8 days earlier than actual discharge (95% CI 0.7-0.9; p<0.001) in adults undergoing abdominal surgery.
Why the study?
The validity and utility of criteria-led discharge to reduce hospital stay after abdominal surgery remained uncertain, as prior evidence was limited to small single-centre studies predominantly in elective colorectal surgery.
Does a criteria-led discharge checklist accurately reflect physiological recovery and reduce unnecessary hospital stay in adults undergoing abdominal surgery?
Population
1071 adults undergoing emergency and elective abdominal surgery at five hospitals across Australia and New Zealand
Comparison
Criteria-led discharge checklist readiness day vs actual day of discharge
Design
Prospective international multicentre clinician-masked cohort study
Follow-up
21 post-operative days
Authors
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Criteria-led discharge checklists may safely reduce unnecessary hospital days; leaves open whether prospective implementation improves resource.
Cohort (n=1,071)
Masked
Yes
Does a criteria-led discharge checklist accurately reflect physiological recovery and reduce unnecessary hospital stay in adults undergoing abdominal surgery?
Mean Difference: 0.8 (95% CI 0.7–0.9)
p-value: p=< 0.001
A criteria-led discharge checklist has excellent validity in measuring physiological recovery after abdominal surgery and could potentially reduce hospital stay by nearly a day.
Boden et al. (2020) conducted a cohort in Abdominal surgery (n=1,071). Criteria-led discharge (CLD) checklist vs. Actual day of discharge was evaluated on Difference between day of readiness to discharge and actual day of discharge (MD 0.8 days, 95% CI 0.7-0.9, p=< 0.001). A criteria-led discharge checklist identified readiness for discharge 0.8 days earlier than actual discharge (95% CI 0.7-0.9; p<0.001) in adults undergoing abdominal surgery.
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