Please use this identifier to cite or link to this item: http://docs.prosentient.com.au/prosentientjspui/handle/1/10232
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dc.contributor.authorKumar, Vineeth V-
dc.contributor.authorTreacy, P John-
dc.contributor.authorLi, Minghao-
dc.contributor.authorDharmawardane, Anoj-
dc.date2018-
dc.date.accessioned2018-08-10T06:41:58Z-
dc.date.accessioned2019-06-29T00:37:00Z-
dc.date.available2018-08-10T06:41:58Z-
dc.date.available2019-06-29T00:37:00Z-
dc.date.issued2018-07-08-
dc.identifier.citationANZ journal of surgery 2018-07-08-
dc.identifier.urihttp://docs.prosentient.com.au/prosentientjspui/handle/1/10232-
dc.description.abstractAcute pancreatitis (AP) is a common cause for hospital admission, but some patients have a prolonged stay. The aim of this study was to identify patients with mild AP who had a prolonged hospital stay, who potentially could be discharged at day 2 to enhanced outpatient care. Data was retrospectively collected on all patients admitted to the Royal Darwin Hospital between May 2016 and February 2017 with a diagnosis of mild AP to identify factors that may safely predict early discharge to enhanced outpatient care. Of 115 admissions, 62% were male, 50% indigenous and alcohol was causative in 53%. A total of 75 (65%) patients stayed more than 2 days and used 342 bed-days. Factors identified in the first 2 days of admission associated with a length of stay more than 2 days (R2  = 0.56, P < 0.0001) included pain score >5 (P = 0.034), temperature ≥38°C (P < 0.0001), white blood cell count >18 (P = 0.036), not tolerating oral diet by day 2 (P = 0.002), severe pancreatitis on imaging (P = 0.008) and readmission in the previous 30 days (P = 0.035). Using these criteria, 57% of all admissions and 87% of admissions greater than 2 days could potentially have been transferred to enhanced outpatient care at day 2 for management. This would have saved 277 inpatient bed-days and an estimated $122 771 over the 9-month study period. A significant proportion of patients admitted with mild AP, who stay longer than 2 days in hospital, could potentially be identified and discharged early to enhanced outpatient care.-
dc.language.isoeng-
dc.subjectacute pancreatitis-
dc.subjectoutpatient care-
dc.subjectpatient discharge-
dc.titleEarly discharge of patients with acute pancreatitis to enhanced outpatient care.-
dc.typeJournal Article-
dc.identifier.doi10.1111/ans.14710-
dc.identifier.journaltitleANZ journal of surgery-
dc.identifier.pubmedurihttps://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed/29984528-
dc.identifier.pubmedidhttps://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed/29984528-
dc.identifier.affiliationDepartment of Surgery, Royal Darwin Hospital, Darwin, Northern Territory, Australia..-
dc.identifier.affiliationDepartment of Surgery, Royal Darwin Hospital, Darwin, Northern Territory, Australia.. Northern Territory Medical School, Flinders University, Darwin, Northern Territory, Australia..-
dc.identifier.affiliationDepartment of Surgery, Royal Darwin Hospital, Darwin, Northern Territory, Australia..-
dc.identifier.affiliationDepartment of Surgery, Royal Darwin Hospital, Darwin, Northern Territory, Australia..-
dc.identifier.orcidhttp://orcid.org/0000-0002-8095-1329-
dc.identifier.orcidhttp://orcid.org/0000-0002-8213-0612-
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