Validity and Utility Testing of a Criteria-led Discharge Checklist to Determine Post-operative Recovery after Abdominal Surgery: an International Multicentre Prospective Cohort Trial
Ianthe Boden, Calvin Peng, Jane Lockstone, Julie Reeve, Claire Hackett, Lesley Anderson, Cat Hill, Brooke Winzer, Nishanthi Gurusinghe, Linda Denehy
World Journal of Surgery | SPRINGER | Published : 2020
BACKGROUND: Criteria-led discharge (CLD) has promising potential to reduce unnecessary hospital stay after abdominal surgery; however, the validity and utility of CLD is uncertain as studies are limited to small single-centre studies involving predominantly elective colorectal surgery. METHODS: This prospective international multicentre cohort study explored the relationship between a CLD checklist, post-operative recovery, and hospital length of stay using patient-level data from four clinical trials involving 1071 adults undergoing all types of emergency and elective abdominal surgery at five hospitals across Australia and New Zealand. Patients were assessed daily for 21 post-operative day..View full abstract
This study was an investigator-initiated trial funded by competitive research grants from the Clifford Craig Foundation, Launceston, Australia; the University of Tasmania (virtual Tasmanian Academic Health Science Precinct), Tasmania, Australia; and the Awhina Contestable Research Grant from the Waitemata District Health Board and Three Harbours Health Foundation, Auckland, New Zealand. Support was provided from departmental sources at each participating study centre (Launceston General Hospital, North West Regional Hospital, North Shore Hospital, Princess Alexandra Hospital, and North East Health Wangaratta) and sponsorship by the Tasmanian Health Service-North to support the Chief Investigator for the period of the trials.