Perioperative medicine & outcomes
Hospital length of stay, 30-day emergency readmissions and the role of the drinking, eating, and mobilising (DrEaMing) enhanced recovery pathways in colonic and rectal surgery in England
Authors' conclusion
We found no evidence that shorter length of stay, or greater DrEaMing compliance, were associated with higher emergency admission rates.
Study context
- Population
- Patients aged ≥17 yr undergoing elective colonic or rectal surgery for cancer in England, April 1, 2014–March 31, 2024124,580 colonic, 87,036 rectal
- Exposure
- Fourth vs first quartile of LOS
- Outcome
- 30-day emergency readmission in relation to LOS
- Follow-up
- 30 days
Methodological detailsobservational, national administrative dataset (Hospital Episode Statistics)
- Observational
- National administrative dataset (Hospital Episode Statistics)
Main finding
As reported in the abstract
30-day emergency readmission, fourth vs first quartile of LOS
Fourth quartile of LOS vs First quartile of LOSOdds increase (95% CI)
Colonic surgery
2.16(2.04–2.30)
Rectal surgery
2.41(2.26–2.57)
Observational data: associations, not effects.
Further findings
Extended LOS by hospital trust DrEaMing compliance
- Increased DrEaMing compliance associated with fewer patients with extended LOS, colonic surgery (X2=24.885)
- P < 0.001
- Increased DrEaMing compliance associated with fewer patients with extended LOS, rectal surgery (X2=61.670)
- P < 0.001
30-day emergency readmission by hospital trust DrEaMing compliance
- DrEaMing compliance not associated with 30-day emergency readmission
Original publication
Hospital length of stay, 30-day emergency readmissions and the role of the DrEaMing enhanced recovery pathways in colonic and rectal surgery in England. Br J Anaesth. Published 22 April 2025. doi:10.
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