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Source
Ugeskr Laeger. 2008 Jan 21;170(4):215-7
Publication Type
Article
Date
Jan-21-2008
Author
Lars Søndergaard Johansen
Tom Howy Christensen
Anette Bendixen
Jørgen Nordling
Klaus Møller-Ernst Jensen
Henrik Kehlet
Author Affiliation
Herlev Hospital, Urologisk Afdeling, Rigshospitalet.
Source
Ugeskr Laeger. 2008 Jan 21;170(4):215-7
Date
Jan-21-2008
Language
Danish
Publication Type
Article
Keywords
Clinical Competence
Cystectomy - adverse effects - mortality - standards - statistics & numerical data
Denmark - epidemiology
Hospital Mortality
Humans
Length of Stay
Postoperative Complications - mortality
Registries
Reoperation
Treatment Outcome
Abstract
The organization and results after cystectomy in Denmark are unknown.
Based upon the Danish National Hospital Register and discharge notes, postoperative hospitalization, readmission within 30 days, re-operations and mortality after cystectomy in Denmark in the period January 1, 2000-December 31, 2005 were assessed.
There were 995 cystectomies with a median postoperative hospital stay of 18.9 days (including readmissions) and hospital mortality of 3.7%. The operations were performed in seven departments without difference in outcome between departments. Morbidity was observed in 58%, 16.8% of which were re-operated for wound or urinary diversion complications.
It is concluded that cystectomy should be performed in only five departments in Denmark, and the results suggest that an intensified multicenter collaboration should be initiated to improve outcome.
Notes
Comment In: Ugeskr Laeger. 2008 Jun 16;170(25):2260; author reply 226118581651
PubMed ID
18282449 View in PubMed
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Prolonged length of stay and many readmissions after appendectomy.

https://arctichealth.org/en/permalink/ahliterature133260
Source
Dan Med Bull. 2011 Jul;58(7):A4296
Publication Type
Article
Date
Jul-2011
Author
Lars Søndergaard Johansen
Jørgen Mogens Thorup
Lars Rasmussen
Zubair Butt Hussain
Henrik Kehlet
Author Affiliation
Department of Paediatric Surgery, Rigshospitalet, Børnekirurgisk Afdeling C, Rigshospitalet, 2100 København Ø , Denmark. lj@dadlnet.dk
Source
Dan Med Bull. 2011 Jul;58(7):A4296
Date
Jul-2011
Language
English
Publication Type
Article
Keywords
Adolescent
Age Factors
Appendectomy - statistics & numerical data
Appendicitis - epidemiology - surgery
Chi-Square Distribution
Child
Child, Preschool
Denmark - epidemiology
Female
Humans
Infant
Infant, Newborn
Length of Stay
Male
Patient Readmission - statistics & numerical data
Registries
Statistics, nonparametric
Time Factors
Treatment Failure
Abstract
The epidemiology of appendicitis seems to be changing; the proportion of complicated appendicitis cases is growing. The outcome of childhood appendectomy in Denmark has not previously been evaluated nationwide in Denmark.
Data on all Danish children treated for appendicitis were obtained from the National Patient Registry. Reoperation, readmittance or length of hospital stay (LOS) exceeding five days were considered nonsatisfactory outcomes.
A total of 2,617 children, 55% boys and 45% girls, were operated at 32 hospitals. Their mean age was 11.1 years. Mortality was 0%. A laparoscopic procedure was used in 34% of the cases. The medians of the postoperative LOS were one day for both the open and laparoscopic appendectomy groups, the corresponding means were 2.5 and 2.0 days (p5 days or readmittance. The typical reasons were wound infection, need for prolonged antibiotics treatment and simple, prolonged recovery.
The Danish practice for appendicitis has acceptable rates of reoperation, medians and means of LOS, and a rate of readmission which is comparable to that reported in other studies. However, a nonsatisfactory outcome after appendectomy in about 20% calls for improvement and further studies.
Not relevant.
PubMed ID
21722542 View in PubMed
Less detail