TY - JOUR T1 - “Fast track” and Intestinal Surgery for Crohn's Disease: Factors Associated With Prolonged Hospital Stay JO - Cirugía Española (English Edition) T2 - AU - Enriquez-Navascués,José María AU - Elorza,Garazi AU - Placer,Carlos AU - Timoteo,Ander AU - Velaz,Leyre AU - Borda,Nerea AU - Saralegui,Yolanda SN - 21735077 M3 - 10.1016/j.cireng.2016.11.007 DO - 10.1016/j.cireng.2016.11.007 UR - https://www.elsevier.es/en-revista-cirugia-espanola-english-edition--436-articulo-fast-track-intestinal-surgery-for-S2173507716301326 AB - ObjectiveThe aim of this study was to determine factors associated with a prolonged postoperative stay (PS) in patients operated on with bowel resection for Crohn's disease (CD) included in an enhanced recovery program (ERP). MethodsWe included patients operated on for CD between January 2013 and December 2015. ERP was organized following an 8-point protocol. Variables studied were: age, sex, PS, ASA, location and type of CD, presence of perianal disease, Harvey–Bradshaw index, previous resection, type of surgery (minimally invasive vs laparotomy) and Clavien Dindo. An inferential study was performed to identify factors related with a PS>6 days and multivariate analysis. ResultsA total of 52 patients were operated on. The median PS was 8 days (IR: 5–11). In the univariate analysis, location (L1 vs L2–3), type (B2 vs B3), presence of perianal disease, prior surgery, type of surgery performed, Harvey–Bradshaw index and Clavien-Dindo were associated with a PS > or < 6 days. The model that best adjusts to predict a PS>6days contained the variable Harvey–Bradshaw (OR: 6.49; 95% CI: 1.46–28.8) and the type of surgery (OR: 0.23; 95% CI: 0.05–0.95). ConclusionA prolonged postoperative stay after bowel resection for CD is more related to the type or severity of the disease and the type of surgery performed, than with other patient factors. Patients with CD need good coordination between prehabilitation, ERP and postoperative management. ER -