University of Twente Student Theses


Safe discharge

Bartels, E.A. (2017) Safe discharge.

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Abstract:Background: The main curative treatment for patients with esophageal cancer is esophagectomy. Currently, the median perioperative hospital stay after esophagectomy is twelve days in the Netherlands. Fast track surgery (FTS) focusses on optimizing perioperative care, with the aim to enhance recovery, reduce morbidity and mortality rates, and decrease the length of hospital stay after major surgery. Implementing the FTS protocol should be done with high regard for safety, preferably based on factors predicting safe discharge. Method: Data is extracted from the Dutch Upper GI Cancer Audit (DUCA) database, databases composed for former research within the ZGT, and in the Electronic Patient Record (EPR) from 124 patients. To combine the data an Access form was developed. After data input, data was analyzed by SPSS Statistics 24. First, univariate analyses were performed, followed by a logistic regression. Results: Logistic regression showed significant differences between groups based on body temperature on day three, heart rate on day thirteen and a lower blood pressure from day eleven to twelve. Conclusion: Three health status factors have shown significant association with safe discharge. These are a lower body temperature on day three, a lower heart rate on day thirteen, and a drop in lower blood pressure from day eleven to day twelve.
Item Type:Essay (Bachelor)
Ziekenhuisgroep, Almelo, Nederland
Faculty:TNW: Science and Technology
Subject:44 medicine
Programme:Health Sciences BSc (56553)
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