Literature DB >> 98548

Randomised controlled trial of early discharge for inguinal hernia and varicose veins.

M W Adler, J J Waller, A Creese, S C Thorne.   

Abstract

A randomised controlled trial has been conducted into the effects of discharging patients from hospital either 48 hours or six to seven days after operations for inguinal hernia and varicose veins. There was no statistically significant difference in major postoperative complications between the two lengths of stay for either of the two conditions. Similarly there was no difference between the two groups of hernia patients in relation to eventual recurrences. There was no significant difference in length of convalescence between long-stay and short-stay patients in full-time occupations. The savings to the statutory services of discharging patients early were estimated at 25.72 pounds per patient. Patients appeared to approve of the type of care they experienced, regardless of length of stay. However, the families of short-stay patients were significantly less enthusiastic in their attitudes towards the policy of early discharge than the families of long-stay patients.

Entities:  

Mesh:

Year:  1978        PMID: 98548      PMCID: PMC1060932          DOI: 10.1136/jech.32.2.136

Source DB:  PubMed          Journal:  J Epidemiol Community Health (1978)        ISSN: 0141-7681


  18 in total

1.  HOW LONG IN HOSPITAL?A STUDY IN VARIATION IN DURATION OF STAY FOR TWO COMMON SURGICAL CONDITIONS.

Authors:  M A HEASMAN
Journal:  Lancet       Date:  1964-09-12       Impact factor: 79.321

2.  SPECIALISATION IN ELECTIVE HERNIORRHAPHY.

Authors:  J D ILES
Journal:  Lancet       Date:  1965-04-03       Impact factor: 79.321

3.  Early ambulation; with special reference to herniorrhaphy as an outpatient procedure.

Authors:  E L FARQUHARSON
Journal:  Lancet       Date:  1955-09-10       Impact factor: 79.321

4.  Randomized controlled trial of early discharge for inguinal hernia and varicose veins.

Authors:  M E Adler
Journal:  Ann R Coll Surg Engl       Date:  1977-05       Impact factor: 1.891

5.  District nursing sister attached to hospital surgical department.

Authors:  L Hockey
Journal:  Br Med J       Date:  1970-04-18

6.  Major outpatient surgery.

Authors:  C V Ruckley; M Maclean; C M Ludgate; A J Espley
Journal:  Lancet       Date:  1973-11-24       Impact factor: 79.321

7.  Another approach to the hernia waiting-list.

Authors:  A D Chant; S Hishon; T Spencer; D Whitcher; A Brooks
Journal:  Lancet       Date:  1972-11-11       Impact factor: 79.321

8.  Team approach to early discharge and outpatient surgery.

Authors:  C V Ruckley; A N Smith; M MacLean; W P Small; C W Falconer
Journal:  Lancet       Date:  1971-01-23       Impact factor: 79.321

9.  Early discharge after hernia repair.

Authors:  D Morris; A W Ward; A J Handyside
Journal:  Lancet       Date:  1968-03-30       Impact factor: 79.321

10.  Short-stay surgery and general practice.

Authors:  M Drury; F S Doran; M White
Journal:  J R Coll Gen Pract       Date:  1973-01
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  15 in total

1.  Day case surgery generates no increased workload for community based staff. True or false?

Authors:  N C Stott
Journal:  BMJ       Date:  1992-03-28

Review 2.  Why are we trying to reduce length of stay? Evaluation of the costs and benefits of reducing time in hospital must start from the objectives that govern change.

Authors:  A Clarke
Journal:  Qual Health Care       Date:  1996-09

Review 3.  Variations in lengths of stay and rates of day case surgery: implications for the efficiency of surgical management.

Authors:  M Morgan; R Beech
Journal:  J Epidemiol Community Health       Date:  1990-06       Impact factor: 3.710

4.  Variation in hospital stay after inguinal herniorrhaphy.

Authors:  M Griffiths; W E Waters; E D Acheson
Journal:  Br Med J       Date:  1979-03-24

5.  How much day surgery? Delphic predictions.

Authors:  J Gabbay; L Francis
Journal:  BMJ       Date:  1988-11-12

6.  Hospital at home.

Authors:  S Shepperd; S Iliffe
Journal:  BMJ       Date:  1996-04-13

7.  Changes in local clinical practice following an experiment in medical care: evaluation of evaluation.

Authors:  M W Adler
Journal:  J Epidemiol Community Health (1978)       Date:  1978-06

Review 8.  The health and cost effects of substituting home care for inpatient acute care: a review of the evidence.

Authors:  L Soderstrom; P Tousignant; T Kaufman
Journal:  CMAJ       Date:  1999-04-20       Impact factor: 8.262

9.  Randomised controlled trial comparing hospital at home care with inpatient hospital care. I: three month follow up of health outcomes.

Authors:  S Shepperd; D Harwood; C Jenkinson; A Gray; M Vessey; P Morgan
Journal:  BMJ       Date:  1998-06-13

10.  Randomised controlled trial comparing hospital at home care with inpatient hospital care. II: cost minimisation analysis.

Authors:  S Shepperd; D Harwood; A Gray; M Vessey; P Morgan
Journal:  BMJ       Date:  1998-06-13
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