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Day-case Versus Inpatient Laparoscopic Supracervical Hysterectomy

2014-08-27 03:13:33 | BioPortfolio

Summary

The purpose of this study is to determine if women subjected to laparoscopic supracervical hysterectomy in a day-case setting would be less satisfied with the length of hospital stay when compared with women who had an overnight stay following their surgical procedure. The null hypothesis was that there was no difference in satisfaction with length of hospital stay.

Description

Objective: To determine whether women having day-case laparoscopic supracervical hysterectomy (LSH) are as satisfied with the length of stay in hospital as women who stay overnight following the procedure.

Design: randomised controlled trial (RCT).

Setting: Ulleval university hospital, Oslo, Norway.

Population: 49 women scheduled for LSH were enrolled and 45 patients completed the study (22 in the inpatient group and 23 in the day-case group).

Methods: Women were randomised to either day-case care or overnight hospital stay following a routine supracervical hysterectomy. The primary outcome measure was satisfaction with the length of stay in the hospital (measured on a 10-point visual analogue scale) and secondary measures were health-related quality of life (measured using the EuroQol EQ5D), anxiety (measured using the State-Trait Anxiety Inventory for Adults (STAI) and general questions about their experiences of having the operation. Readmissions, prolonged hospitalisations, complications and any contact with a health professional after discharge were also recorded. Measures were taken on the day of surgery (postoperatively), and on days 1, 2, 4 and 7 following surgery. The data were analysed based on an intention to treat.

Study Design

Allocation: Randomized, Control: Active Control, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Conditions

Hysterectomy

Intervention

day-case laparoscopic supracervical hysterectomy, inpatient LSH

Location

Oslo University Hospital, Ullevål
Oslo
Norway
0407

Status

Completed

Source

Oslo University Hospital

Results (where available)

View Results

Links

Published on BioPortfolio: 2014-08-27T03:13:33-0400

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Medical and Biotech [MESH] Definitions

Excision of the uterus.

Removal of the uterus through the vagina.

Excision of the gallbladder through an abdominal incision using a laparoscope.

A measure of inpatient health facility use based upon the average number or proportion of beds occupied for a given period of time.

Placement of one of the surgeon's gloved hands into the ABDOMINAL CAVITY to perform manual manipulations that facilitate the laparoscopic procedures.

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