Perioperative medicine & outcomes

Length of stay after colorectal surgery in Italy: the gap between “fit for” and “actual” discharge in a prospective cohort of 4529 cases

Perioper Med (Lond)Published Prospective cohort study

Main finding · LOSResult — go to the resultDifference 2.3 days

Authors' conclusion

Among other factors, the gap between FFD and AD had an independent impact on LOS.

Study context

Population
Patients undergoing colorectal surgery enrolled in the prospective iCral3 study, ItalyiCral3 study
Participants
4,529 patients
Exposure
Gap vs no gap between fit for discharge and actual discharge
  • Gapn = 619
  • No-gapn = 3,910reference
Outcome
LOS and its association with the gap between FFD and AD
Methodological detailsmultivariate regression
  • Multivariate regression

Main finding

LOS

Difference

2.3 days

By group

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeValuesP value
LOS by gap reasonNeed for postoperative rehabilitation vs Other reasonsNeed for postoperative rehabilitation 9 (IQR 6.0–12.5) daysP < 0.001
  • Length of stay (LOS) by gap reason: longest LOS vs "not willing to return home" and "social constraints"

Overall LOS, whole cohort

Median [IQR] LOS, 4529 patients (days)
6 [4-8]

Independent effect of gap on LOS (multivariate regression)

Gap independently lengthened LOS (days)
2.3

Original publication

Length of stay after colorectal surgery in Italy: the gap between “fit for” and “actual” discharge in a prospective cohort of 4529 cases. Perioper Med (Lond). Published 4 February 2025. doi:10.1186/s13741-025-00492-1

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