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

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

doi:10.24911/IJMDC.51-1675931690

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Original Article

Online Publishing Date:
21 / 03 / 2023

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

doi: 10.24911/IJMDC.51-1675931690

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 <30 (39.7%). Discharge 1-day post-cholecystectomy reported 70.7% and 97.1% were never re-admitted. Diabetes was the only factor to increase re-admission risk (p-value: 0.029).
Conclusion: None of the factors was significantly associated with hospital length of stay post-op, and having diabetes was the only factor to show a significantly higher risk of re-admission.

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

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How to Cite this Article

Pubmed Style

Khallaf S, Alzamel H, Alshabraqi H, Aljarwan R, Alhassoun N, Saleh N. Criteria of day surgery discharge post elective laparoscopic cholecystectomy among adult patients. IJMDC. 2023; 7(7): 1010-1016. doi:10.24911/IJMDC.51-1675931690

Web Style

Khallaf S, Alzamel H, Alshabraqi H, Aljarwan R, Alhassoun N, Saleh N. Criteria of day surgery discharge post elective laparoscopic cholecystectomy among adult patients. https://www.ijmdc.com/?mno=143284 [Access: March 27, 2024]. doi:10.24911/IJMDC.51-1675931690

AMA (American Medical Association) Style

Khallaf S, Alzamel H, Alshabraqi H, Aljarwan R, Alhassoun N, Saleh N. Criteria of day surgery discharge post elective laparoscopic cholecystectomy among adult patients. IJMDC. 2023; 7(7): 1010-1016. doi:10.24911/IJMDC.51-1675931690

Vancouver/ICMJE Style

Khallaf S, Alzamel H, Alshabraqi H, Aljarwan R, Alhassoun N, Saleh N. Criteria of day surgery discharge post elective laparoscopic cholecystectomy among adult patients. IJMDC. (2023), [cited March 27, 2024]; 7(7): 1010-1016. doi:10.24911/IJMDC.51-1675931690

Harvard Style

Khallaf, S., Alzamel, . H., Alshabraqi, . H., Aljarwan, . R., Alhassoun, . N. & Saleh, . N. (2023) Criteria of day surgery discharge post elective laparoscopic cholecystectomy among adult patients. IJMDC, 7 (7), 1010-1016. doi:10.24911/IJMDC.51-1675931690

Turabian Style

Khallaf, Sadeem, Heythem Alzamel, Halah Alshabraqi, Rafeef Aljarwan, Norah Alhassoun, and Najla Saleh. 2023. Criteria of day surgery discharge post elective laparoscopic cholecystectomy among adult patients. International Journal of Medicine in Developing Countries, 7 (7), 1010-1016. doi:10.24911/IJMDC.51-1675931690

Chicago Style

Khallaf, Sadeem, Heythem Alzamel, Halah Alshabraqi, Rafeef Aljarwan, Norah Alhassoun, and Najla Saleh. "Criteria of day surgery discharge post elective laparoscopic cholecystectomy among adult patients." International Journal of Medicine in Developing Countries 7 (2023), 1010-1016. doi:10.24911/IJMDC.51-1675931690

MLA (The Modern Language Association) Style

Khallaf, Sadeem, Heythem Alzamel, Halah Alshabraqi, Rafeef Aljarwan, Norah Alhassoun, and Najla Saleh. "Criteria of day surgery discharge post elective laparoscopic cholecystectomy among adult patients." International Journal of Medicine in Developing Countries 7.7 (2023), 1010-1016. Print. doi:10.24911/IJMDC.51-1675931690

APA (American Psychological Association) Style

Khallaf, S., Alzamel, . H., Alshabraqi, . H., Aljarwan, . R., Alhassoun, . N. & Saleh, . N. (2023) Criteria of day surgery discharge post elective laparoscopic cholecystectomy among adult patients. International Journal of Medicine in Developing Countries, 7 (7), 1010-1016. doi:10.24911/IJMDC.51-1675931690

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