1. Cost Effectiveness of a Fast-Track Protocol for Urgent Laparoscopic Cholecystectomies and Appendectomies
- Author
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Karina M. Katchko, Amy Verhaalen, Travis P. Webb, Colleen M. Trevino, and Marie L. Bruce
- Subjects
Adult ,Male ,medicine.medical_specialty ,Cost effectiveness ,Cost-Benefit Analysis ,medicine.medical_treatment ,Cholecystitis, Acute ,030230 surgery ,Cohort Studies ,03 medical and health sciences ,0302 clinical medicine ,Clinical Protocols ,medicine ,Appendectomy ,Humans ,Hospital Costs ,Retrospective Studies ,business.industry ,Historically Controlled Study ,Retrospective cohort study ,Length of Stay ,Appendicitis ,medicine.disease ,Hospital Charges ,United States ,Surgery ,Cholecystectomy, Laparoscopic ,030220 oncology & carcinogenesis ,Cohort ,Female ,Laparoscopy ,Cholecystectomy ,Fast track ,business ,Abdominal surgery ,Cohort study - Abstract
Fast-track protocols (FTPs) are used to decrease length of stay (LOS) and hospital costs for elective outpatient procedures. Few institutions have implemented FTP for urgent procedures such as laparoscopic cholecystectomy (LC) and laparoscopic appendectomy (LA). This is a retrospective single-institution cohort study including all patients undergoing urgent LC or LA between July 1, 2010 and May 1, 2013. Exclusion criteria included conversion to open procedure, perforated appendicitis, or procedure related to intra-abdominal injury. Analysis included a comparison of the three study groups: (1) before (PRE) and after (POST) implementation of the fast-track protocol (FTP), (2) fast-track cohort (FT) and non-fast-track cohort (NFT), and (3) those completing the fast-track pathway (FT-C) and those who began but failed to complete the pathway (FT-F). There were significant reductions in LOS between all study groups compared: between PRE (n = 256) and POST (n = 472) cohorts by half a day (2.0 vs. 1.5 days, p
- Published
- 2015