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dc.contributor.authorChapman, SJ
dc.contributor.authorBlanco-Colino, R
dc.contributor.authorPérez-Ajates, S
dc.contributor.authorBautista, OA
dc.contributor.authorHodson, J
dc.contributor.authorBlanco-Colino, R
dc.contributor.authorChapman, SJ
dc.contributor.authorGlasbey, JC
dc.contributor.authorPata, F
dc.contributor.authorPellino, G
dc.contributor.authorSoares, ASA
dc.contributor.authorvan Elst, T
dc.contributor.authorVan Straten, S
dc.contributor.authorNepogodiev, D
dc.contributor.authorHodson, J
dc.contributor.authorBorakati, A
dc.contributor.authorBath, MF
dc.contributor.authorYasin, IH
dc.contributor.authorMclean, K
dc.contributor.authorArthur, T
dc.contributor.authorKovacevic, M
dc.contributor.authorDelibegovic, S
dc.contributor.authorKaramanliev, M
dc.contributor.authorSwamad, M
dc.contributor.authorŽebrák, R
dc.contributor.authorParamasivam, R
dc.contributor.authorMartensen, A
dc.contributor.authorLarsen, HM
dc.contributor.authorRãdeker, L
dc.contributor.authorFrey, PE
dc.contributor.authorKechagias, A
dc.contributor.authorVenara, A
dc.contributor.authorDuchalais, E
dc.contributor.authorIoannidis, A
dc.contributor.authorPata, F
dc.contributor.authorPellino, G
dc.contributor.authorPasquali, S
dc.contributor.authorSimioni, ASA
dc.contributor.authorFarina, V
dc.contributor.authorPodda, M
dc.contributor.authorLorenzon, L
dc.contributor.authorItSURG
dc.contributor.authorOtto, A
dc.contributor.authorJakubauskas, M
dc.contributor.authorSchaeff, V
dc.contributor.authorChu, M
dc.contributor.authorFagan, PVB
dc.contributor.authorWells, CI
dc.contributor.authorJoão, AA
dc.contributor.authorSoares, A
dc.contributor.authorJuloski, J
dc.contributor.authorBautista, OA
dc.contributor.authorEl Kasmi, YEK
dc.contributor.authorEspin-Basany, E
dc.contributor.authorClerc, D
dc.contributor.authorCiubotaru, C
dc.contributor.authorPopescu, S
dc.contributor.authorYanishev, A
dc.contributor.authorLee, S
dc.contributor.authorOzkan, BB
dc.contributor.authorSen, AY
dc.contributor.authorAktas, MK
dc.contributor.authorBaki, BE
dc.contributor.authorYüksek, B
dc.contributor.authorKamarajah, S
dc.contributor.authorMclean, K
dc.contributor.authorBorakati, A
dc.contributor.authorYasin, IH
dc.contributor.authorKhaw, RA
dc.contributor.authorMills, E
dc.contributor.authorGoodson, R
dc.contributor.authorThakral, N
dc.contributor.authorAblett, AD
dc.contributor.authorAdra, M
dc.contributor.authorKwek, I
dc.contributor.authorKhan, SM
dc.contributor.authorQuinn, P
dc.contributor.authorManley, LR
dc.contributor.authorBadran, A
dc.contributor.authorRamjeeawon, A
dc.contributor.authorCampbell, A
dc.contributor.authorTan, HL
dc.contributor.authorRye, DS
dc.contributor.authorRajaraman, N
dc.contributor.authorNorman, JG
dc.contributor.authorVutipongsatorn, K
dc.contributor.authorSolomou, G
dc.contributor.authorAkhbari, M
dc.contributor.authorAli, A
dc.contributor.authorBrandao, BD
dc.contributor.authorStainer, B
dc.contributor.authorThavayogan, R
dc.contributor.authorJones, D
dc.contributor.authorOnafowokan, OO
dc.contributor.authorGharooni, A
dc.contributor.authorDabab, N
dc.contributor.authorCarlton-Carew, S
dc.date.accessioned2020-05-15T01:30:16Z
dc.date.available2020-05-15T01:30:16Z
dc.date.issued2020
dc.identifier.issn0007-1323
dc.identifier.doi10.1002/bjs.11422
dc.identifier.urihttp://hdl.handle.net/10072/393900
dc.description.abstractBackground: Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function. Methods: A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multivariable regression analysis. Other outcomes were postoperative complications within 30 days of surgery, measured using the Clavien–Dindo classification system. Results: A total of 3288 patients were included in the analysis, of whom 301 (9·2 per cent) were discharged before the return of bowel function. The median duration of hospital stay for patients discharged before and after return of bowel function was 5 (i.q.r. 4–7) and 7 (6–8) days respectively (P < 0·001). There were no significant differences in rates of readmission between these groups (6·6 versus 8·0 per cent; P = 0·499), and this remained the case after multivariable adjustment for baseline differences (odds ratio 0·90, 95 per cent c.i. 0·55 to 1·46; P = 0·659). Rates of postoperative complications were also similar in those discharged before versus after return of bowel function (minor: 34·7 versus 39·5 per cent; major 3·3 versus 3·4 per cent; P = 0·110). Conclusion: Discharge before return of bowel function after elective colorectal surgery appears to be safe in appropriately selected patients.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley
dc.relation.ispartofpagefrom552
dc.relation.ispartofpageto559
dc.relation.ispartofissue5
dc.relation.ispartofjournalBritish Journal of Surgery
dc.relation.ispartofvolume107
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode3202
dc.titleSafety of hospital discharge before return of bowel function after elective colorectal surgery
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationChapman, SJ; Blanco-Colino, R; Pérez-Ajates, S; Bautista, OA; Hodson, J; Blanco-Colino, R; Chapman, SJ; Glasbey, JC; Pata, F; Pellino, G; Soares, ASA; van Elst, T; Van Straten, S; Arthur, T; et al., Safety of hospital discharge before return of bowel function after elective colorectal surgery, British Journal of Surgery, 2020, 107 (5), pp. 552-559
dcterms.dateAccepted2019-10-08
dc.date.updated2020-05-15T01:23:29Z
gro.hasfulltextNo Full Text
gro.griffith.authorFomin, Igor
gro.griffith.authorArthur, Thomas
gro.griffith.authorSchachtel, Michael J.


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