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Original Article

IJMDC. 2023; 7(7): 1010-1016


Criteria of day surgery discharge post elective laparoscopic cholecystectomy among adult patients

Sadeem Khallaf, Heythem Alzamel, Halah Alshabraqi, Rafeef Aljarwan, Norah Alhassoun, Najla Saleh.




Abstract

Background: Laparoscopic cholecystectomy is a minimally invasive and the most performed procedure for gallbladder resection. Despite published studies demonstrating the safety of early discharge of patients after lap-cholecystectomy, many have not accepted this approach. The present study aims to identify adult patients who are discharged late or require re-admission after laparoscopic cholecystectomy in King Abdulaziz Medical City (KAMC) in Riyadh, Saudi Arabia, due to the lack of information regarding a patient’s discharge time or re-admittance.
Methods: A cross-sectional study, questionnaire-based chart review was conducted at KAMC in Saudi Arabia, Riyadh, targeting 347 patients, chosen through simple random sampling, that underwent laparoscopic cholecystectomies from January 2016 to December 2020. The p-value < 0.05 was considered significant for all the tests applied. The postoperative length of stay predictors was measured using linear regression modeling.
Results: Among the study subjects, females accounted for up to 76.4%, the largest population (27%) was aged between 51 and 65 years, and the least (23%) were aged between 41 and 50 years. Further 82.2% were not diabetic, and the remaining (35%) had increased HbA1c. The majority had a body mass index

Key words: Elective laparoscopic cholecystectomy, discharge, re-admission, length of stay, post-operative, length of stay.






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