Length of hospital stay following elective abdominal aortic aneurysm repair

F. G.R. Fowkes; R. M. Greenhalgh; J. T. Powell; C. V. Ruckley; S. Blair; R. Clark; C. Devine; K. Ferguson; S. Hearn; E. Kerracher; S. Logan; A. McCabe; R. Meer-Baloch; M. Mossa; A. Rattray; K. Wilson; S. Thompson; P. J. Franks; L. Brown; J. Forbes; R. Jepson; N. Keen; C. Rose; R. M. Hassaine; P. A. Poole-Wilson; N. Browse; C. J. Bulpitt; K. Burnand; E. C. Coles; A. Fletcher; M. Horrocks; J. Budd; R. N. Baird; P. Lamont; D. C. Wilkins; S. Ashley; K. Flowerdew; A. Baker; J. Earnshaw; B. Heather; C. Gibbons; R. L. Blackett; S. D. Parvin; D. R. Harvey; R. Hedges; D. Finch; D. B. Hocken; G. E. Morris; C. P. Shearman; P. Lear; P. Lewis; R. J. Clarke; A. M. Jenkins; G. G. Cooper; J. Engeset; R. Naylor; G. Stewart; J. Cumming; J. McCormick; A. Howd; A. Turner; D. R. Harper; R. C. Smith; J. Chamberlain; A. G. Jones; M. G. Wyatt; A. J. McKay; J. C. Forrester; P. McCollum; P. A. Stonebridge; A. J.G. Davidson; R. Baker; J. L.R. Forsythe; D. Lambert; J. L. Duncan; P. R.F. Bell; D. Ratliff; K. G. Callum; J. R. Nash; D. S. McPherson; R. E. Jenner; R. Stewart; P. R. Armitstead; W. W. Barrie; D. B. Hamer; S. Powis; L. D. Coen; J. Michaels; C. L. Welsh; B. R. Hopkinson; P. W. Wenham; J. Beard; A. Aukland; J. Black; R. Downing; N. C. Hickey; A. H. Davies; D. Nott; A. R.L. May

doi:10.1016/S1078-5884(98)80218-9

Length of hospital stay following elective abdominal aortic aneurysm repair

F. G.R. Fowkes, R. M. Greenhalgh, J. T. Powell^*, C. V. Ruckley, S. Blair, R. Clark, C. Devine, K. Ferguson, S. Hearn, E. Kerracher, S. Logan, A. McCabe, R. Meer-Baloch, M. Mossa, A. Rattray, K. Wilson, S. Thompson, P. J. Franks, L. Brown, J. ForbesR. Jepson, N. Keen, C. Rose, R. M. Hassaine, P. A. Poole-Wilson, N. Browse, C. J. Bulpitt, K. Burnand, E. C. Coles, A. Fletcher, M. Horrocks, J. Budd, R. N. Baird, P. Lamont, D. C. Wilkins, S. Ashley, K. Flowerdew, A. Baker, J. Earnshaw, B. Heather, C. Gibbons, R. L. Blackett, S. D. Parvin, D. R. Harvey, R. Hedges, D. Finch, D. B. Hocken, G. E. Morris, C. P. Shearman, P. Lear, P. Lewis, R. J. Clarke, A. M. Jenkins, G. G. Cooper, J. Engeset, R. Naylor, G. Stewart, J. Cumming, J. McCormick, A. Howd, A. Turner, D. R. Harper, R. C. Smith, J. Chamberlain, A. G. Jones, M. G. Wyatt, A. J. McKay, J. C. Forrester, P. McCollum, P. A. Stonebridge, A. J.G. Davidson, R. Baker, J. L.R. Forsythe, D. Lambert, J. L. Duncan, P. R.F. Bell, D. Ratliff, K. G. Callum, J. R. Nash, D. S. McPherson, R. E. Jenner, R. Stewart, P. R. Armitstead, W. W. Barrie, D. B. Hamer, S. Powis, L. D. Coen, J. Michaels, C. L. Welsh, B. R. Hopkinson, P. W. Wenham, J. Beard, A. Aukland, J. Black, R. Downing, N. C. Hickey, A. H. Davies, D. Nott, A. R.L. May

^*Corresponding author for this work

Research output: Contribution to journal › Review article › peer-review

13 Citations (Scopus)

Abstract

Objectives: To investigate factors associated with a prolonged hospital stay after elective open surgical repair of abdominal aortic aneurysm. Patients and methods: We have investigated prospectively base-line risk factors associated with an increased length of postoperative hospital stay in 474 of the patients undergoing surgery as part of the U.K. Small Aneurysm Trial. Results: The median length of hospital stay was 11 days (interquartile range 9-14 days). Age (within the range 60-76 years), sex, body mass index, aneurysm diameter, graft type (tube or bifurcated), hospital (university or other), ECG characteristics, angina (from Rose questionnaire) and/or previous myocardial infarction were not associated with length of hospital stay. Quality of life also was assessed before surgery using the Medical Outcomes Study SF20. Psychosocial aspects including level of social functioning, role functioning, mental health, health perceptions and pain were not associated with length of postoperative stay. The level of preoperative physical functioning was associated inversely with length of hospital stay, p = 0.004. Patients' length of hospital stay also was inversely associated with preoperative lung function: FEV₁, p = 0.011 and FVC, p = 0.006. In contrast, smoking habit was of only borderline significance, p = 0.09. Conclusion: Conditional logistic regression analysis identified only preoperative lung function (FEV₁ and FVC) and physical functioning, three intrinsically linked factors, as predictors of length of hospital stay after elective repair of an abdominal aortic aneurysm.

Original language	English
Pages (from-to)	185-191
Number of pages	7
Journal	European Journal of Vascular and Endovascular Surgery
Volume	16
Issue number	3
DOIs	https://doi.org/10.1016/S1078-5884(98)80218-9
Publication status	Published - 1998
Externally published	Yes

Bibliographical note

Funding Information:
The U.K. Small Aneurysm Trial is supported by the Medical Research Council and the British Heart Foundation.

Keywords

Aortic aneurysm
Bed occupancy
FEV
FVC
Lung function
Quality of life

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/S1078-5884(98)80218-9

Cite this

Fowkes, F. G. R., Greenhalgh, R. M., Powell, J. T., Ruckley, C. V., Blair, S., Clark, R., Devine, C., Ferguson, K., Hearn, S., Kerracher, E., Logan, S., McCabe, A., Meer-Baloch, R., Mossa, M., Rattray, A., Wilson, K., Thompson, S., Franks, P. J., Brown, L., ... May, A. R. L. (1998). Length of hospital stay following elective abdominal aortic aneurysm repair. European Journal of Vascular and Endovascular Surgery, 16(3), 185-191. https://doi.org/10.1016/S1078-5884(98)80218-9

@article{9805d77a5a0c4ff385239ad534c29f76,

title = "Length of hospital stay following elective abdominal aortic aneurysm repair",

abstract = "Objectives: To investigate factors associated with a prolonged hospital stay after elective open surgical repair of abdominal aortic aneurysm. Patients and methods: We have investigated prospectively base-line risk factors associated with an increased length of postoperative hospital stay in 474 of the patients undergoing surgery as part of the U.K. Small Aneurysm Trial. Results: The median length of hospital stay was 11 days (interquartile range 9-14 days). Age (within the range 60-76 years), sex, body mass index, aneurysm diameter, graft type (tube or bifurcated), hospital (university or other), ECG characteristics, angina (from Rose questionnaire) and/or previous myocardial infarction were not associated with length of hospital stay. Quality of life also was assessed before surgery using the Medical Outcomes Study SF20. Psychosocial aspects including level of social functioning, role functioning, mental health, health perceptions and pain were not associated with length of postoperative stay. The level of preoperative physical functioning was associated inversely with length of hospital stay, p = 0.004. Patients' length of hospital stay also was inversely associated with preoperative lung function: FEV1, p = 0.011 and FVC, p = 0.006. In contrast, smoking habit was of only borderline significance, p = 0.09. Conclusion: Conditional logistic regression analysis identified only preoperative lung function (FEV1 and FVC) and physical functioning, three intrinsically linked factors, as predictors of length of hospital stay after elective repair of an abdominal aortic aneurysm.",

keywords = "Aortic aneurysm, Bed occupancy, FEV, FVC, Lung function, Quality of life",

author = "Fowkes, {F. G.R.} and Greenhalgh, {R. M.} and Powell, {J. T.} and Ruckley, {C. V.} and S. Blair and R. Clark and C. Devine and K. Ferguson and S. Hearn and E. Kerracher and S. Logan and A. McCabe and R. Meer-Baloch and M. Mossa and A. Rattray and K. Wilson and S. Thompson and Franks, {P. J.} and L. Brown and J. Forbes and R. Jepson and N. Keen and C. Rose and Hassaine, {R. M.} and Poole-Wilson, {P. A.} and N. Browse and Bulpitt, {C. J.} and K. Burnand and Coles, {E. C.} and A. Fletcher and M. Horrocks and J. Budd and Baird, {R. N.} and P. Lamont and Wilkins, {D. C.} and S. Ashley and K. Flowerdew and A. Baker and J. Earnshaw and B. Heather and C. Gibbons and Blackett, {R. L.} and Parvin, {S. D.} and Harvey, {D. R.} and R. Hedges and D. Finch and Hocken, {D. B.} and Morris, {G. E.} and Shearman, {C. P.} and P. Lear and P. Lewis and Clarke, {R. J.} and Jenkins, {A. M.} and Cooper, {G. G.} and J. Engeset and R. Naylor and G. Stewart and J. Cumming and J. McCormick and A. Howd and A. Turner and Harper, {D. R.} and Smith, {R. C.} and J. Chamberlain and Jones, {A. G.} and Wyatt, {M. G.} and McKay, {A. J.} and Forrester, {J. C.} and P. McCollum and Stonebridge, {P. A.} and Davidson, {A. J.G.} and R. Baker and Forsythe, {J. L.R.} and D. Lambert and Duncan, {J. L.} and Bell, {P. R.F.} and D. Ratliff and Callum, {K. G.} and Nash, {J. R.} and McPherson, {D. S.} and Jenner, {R. E.} and R. Stewart and Armitstead, {P. R.} and Barrie, {W. W.} and Hamer, {D. B.} and S. Powis and Coen, {L. D.} and J. Michaels and Welsh, {C. L.} and Hopkinson, {B. R.} and Wenham, {P. W.} and J. Beard and A. Aukland and J. Black and R. Downing and Hickey, {N. C.} and Davies, {A. H.} and D. Nott and May, {A. R.L.}",

note = "Funding Information: The U.K. Small Aneurysm Trial is supported by the Medical Research Council and the British Heart Foundation.",

year = "1998",

doi = "10.1016/S1078-5884(98)80218-9",

language = "English",

volume = "16",

pages = "185--191",

journal = "European Journal of Vascular and Endovascular Surgery",

issn = "1078-5884",

publisher = "W.B. Saunders Ltd",

number = "3",

}

Fowkes, FGR, Greenhalgh, RM, Powell, JT, Ruckley, CV, Blair, S, Clark, R, Devine, C, Ferguson, K, Hearn, S, Kerracher, E, Logan, S, McCabe, A, Meer-Baloch, R, Mossa, M, Rattray, A, Wilson, K, Thompson, S, Franks, PJ, Brown, L, Forbes, J, Jepson, R, Keen, N, Rose, C, Hassaine, RM, Poole-Wilson, PA, Browse, N, Bulpitt, CJ, Burnand, K, Coles, EC, Fletcher, A, Horrocks, M, Budd, J, Baird, RN, Lamont, P, Wilkins, DC, Ashley, S, Flowerdew, K, Baker, A, Earnshaw, J, Heather, B, Gibbons, C, Blackett, RL, Parvin, SD, Harvey, DR, Hedges, R, Finch, D, Hocken, DB, Morris, GE, Shearman, CP, Lear, P, Lewis, P, Clarke, RJ, Jenkins, AM, Cooper, GG, Engeset, J, Naylor, R, Stewart, G, Cumming, J, McCormick, J, Howd, A, Turner, A, Harper, DR, Smith, RC, Chamberlain, J, Jones, AG, Wyatt, MG, McKay, AJ, Forrester, JC, McCollum, P, Stonebridge, PA, Davidson, AJG, Baker, R, Forsythe, JLR, Lambert, D, Duncan, JL, Bell, PRF, Ratliff, D, Callum, KG, Nash, JR, McPherson, DS, Jenner, RE, Stewart, R, Armitstead, PR, Barrie, WW, Hamer, DB, Powis, S, Coen, LD, Michaels, J, Welsh, CL, Hopkinson, BR, Wenham, PW, Beard, J, Aukland, A, Black, J, Downing, R, Hickey, NC, Davies, AH, Nott, D & May, ARL 1998, 'Length of hospital stay following elective abdominal aortic aneurysm repair', European Journal of Vascular and Endovascular Surgery, vol. 16, no. 3, pp. 185-191. https://doi.org/10.1016/S1078-5884(98)80218-9

TY - JOUR

T1 - Length of hospital stay following elective abdominal aortic aneurysm repair

AU - Fowkes, F. G.R.

AU - Greenhalgh, R. M.

AU - Powell, J. T.

AU - Ruckley, C. V.

AU - Blair, S.

AU - Clark, R.

AU - Devine, C.

AU - Ferguson, K.

AU - Hearn, S.

AU - Kerracher, E.

AU - Logan, S.

AU - McCabe, A.

AU - Meer-Baloch, R.

AU - Mossa, M.

AU - Rattray, A.

AU - Wilson, K.

AU - Thompson, S.

AU - Franks, P. J.

AU - Brown, L.

AU - Forbes, J.

AU - Jepson, R.

AU - Keen, N.

AU - Rose, C.

AU - Hassaine, R. M.

AU - Poole-Wilson, P. A.

AU - Browse, N.

AU - Bulpitt, C. J.

AU - Burnand, K.

AU - Coles, E. C.

AU - Fletcher, A.

AU - Horrocks, M.

AU - Budd, J.

AU - Baird, R. N.

AU - Lamont, P.

AU - Wilkins, D. C.

AU - Ashley, S.

AU - Flowerdew, K.

AU - Baker, A.

AU - Earnshaw, J.

AU - Heather, B.

AU - Gibbons, C.

AU - Blackett, R. L.

AU - Parvin, S. D.

AU - Harvey, D. R.

AU - Hedges, R.

AU - Finch, D.

AU - Hocken, D. B.

AU - Morris, G. E.

AU - Shearman, C. P.

AU - Lear, P.

AU - Lewis, P.

AU - Clarke, R. J.

AU - Jenkins, A. M.

AU - Cooper, G. G.

AU - Engeset, J.

AU - Naylor, R.

AU - Stewart, G.

AU - Cumming, J.

AU - McCormick, J.

AU - Howd, A.

AU - Turner, A.

AU - Harper, D. R.

AU - Smith, R. C.

AU - Chamberlain, J.

AU - Jones, A. G.

AU - Wyatt, M. G.

AU - McKay, A. J.

AU - Forrester, J. C.

AU - McCollum, P.

AU - Stonebridge, P. A.

AU - Davidson, A. J.G.

AU - Baker, R.

AU - Forsythe, J. L.R.

AU - Lambert, D.

AU - Duncan, J. L.

AU - Bell, P. R.F.

AU - Ratliff, D.

AU - Callum, K. G.

AU - Nash, J. R.

AU - McPherson, D. S.

AU - Jenner, R. E.

AU - Stewart, R.

AU - Armitstead, P. R.

AU - Barrie, W. W.

AU - Hamer, D. B.

AU - Powis, S.

AU - Coen, L. D.

AU - Michaels, J.

AU - Welsh, C. L.

AU - Hopkinson, B. R.

AU - Wenham, P. W.

AU - Beard, J.

AU - Aukland, A.

AU - Black, J.

AU - Downing, R.

AU - Hickey, N. C.

AU - Davies, A. H.

AU - Nott, D.

AU - May, A. R.L.

N1 - Funding Information: The U.K. Small Aneurysm Trial is supported by the Medical Research Council and the British Heart Foundation.

PY - 1998

Y1 - 1998

N2 - Objectives: To investigate factors associated with a prolonged hospital stay after elective open surgical repair of abdominal aortic aneurysm. Patients and methods: We have investigated prospectively base-line risk factors associated with an increased length of postoperative hospital stay in 474 of the patients undergoing surgery as part of the U.K. Small Aneurysm Trial. Results: The median length of hospital stay was 11 days (interquartile range 9-14 days). Age (within the range 60-76 years), sex, body mass index, aneurysm diameter, graft type (tube or bifurcated), hospital (university or other), ECG characteristics, angina (from Rose questionnaire) and/or previous myocardial infarction were not associated with length of hospital stay. Quality of life also was assessed before surgery using the Medical Outcomes Study SF20. Psychosocial aspects including level of social functioning, role functioning, mental health, health perceptions and pain were not associated with length of postoperative stay. The level of preoperative physical functioning was associated inversely with length of hospital stay, p = 0.004. Patients' length of hospital stay also was inversely associated with preoperative lung function: FEV1, p = 0.011 and FVC, p = 0.006. In contrast, smoking habit was of only borderline significance, p = 0.09. Conclusion: Conditional logistic regression analysis identified only preoperative lung function (FEV1 and FVC) and physical functioning, three intrinsically linked factors, as predictors of length of hospital stay after elective repair of an abdominal aortic aneurysm.

AB - Objectives: To investigate factors associated with a prolonged hospital stay after elective open surgical repair of abdominal aortic aneurysm. Patients and methods: We have investigated prospectively base-line risk factors associated with an increased length of postoperative hospital stay in 474 of the patients undergoing surgery as part of the U.K. Small Aneurysm Trial. Results: The median length of hospital stay was 11 days (interquartile range 9-14 days). Age (within the range 60-76 years), sex, body mass index, aneurysm diameter, graft type (tube or bifurcated), hospital (university or other), ECG characteristics, angina (from Rose questionnaire) and/or previous myocardial infarction were not associated with length of hospital stay. Quality of life also was assessed before surgery using the Medical Outcomes Study SF20. Psychosocial aspects including level of social functioning, role functioning, mental health, health perceptions and pain were not associated with length of postoperative stay. The level of preoperative physical functioning was associated inversely with length of hospital stay, p = 0.004. Patients' length of hospital stay also was inversely associated with preoperative lung function: FEV1, p = 0.011 and FVC, p = 0.006. In contrast, smoking habit was of only borderline significance, p = 0.09. Conclusion: Conditional logistic regression analysis identified only preoperative lung function (FEV1 and FVC) and physical functioning, three intrinsically linked factors, as predictors of length of hospital stay after elective repair of an abdominal aortic aneurysm.

KW - Aortic aneurysm

KW - Bed occupancy

KW - FEV

KW - FVC

KW - Lung function

KW - Quality of life

UR - http://www.scopus.com/inward/record.url?scp=17444446028&partnerID=8YFLogxK

U2 - 10.1016/S1078-5884(98)80218-9

DO - 10.1016/S1078-5884(98)80218-9

M3 - Review article

C2 - 9787298

AN - SCOPUS:17444446028

SN - 1078-5884

VL - 16

SP - 185

EP - 191

JO - European Journal of Vascular and Endovascular Surgery

JF - European Journal of Vascular and Endovascular Surgery

IS - 3

ER -

Length of hospital stay following elective abdominal aortic aneurysm repair

Abstract

Bibliographical note

Keywords

UN SDGs

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