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Although specialised care pathways with standard operating procedures (SOPs) have been effective in reducing length of stay following some surgical procedures, this has not been previously reported for ACLR.
Alvimopan has been shown to reduce incidence of postoperative ileus in enhanced recovery colorectal surgery; however, data are equivocal regarding its benefit in reducing length of stay and costs.Patients undergoing major elective enhanced recovery colorectal surgery were identified from a prospectively-collected database (2010-2013).
This study showed that CP can help in reducing length of stay and indirectly reducing cost of care.
Early intensive rehabilitation is expensive to provide, but is shown to be cost-effective in reducing length of stay [ 2].
Administration of probiotics was also found to be beneficial in reducing length of stay in the ICU and colonization of the respiratory tract by Pseudomonas aeruginosa.
Overall, these reviews suggested considerable uncertainty about the magnitude of the effect of ERAS programmes in reducing length of hospital stay.
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Prior reviews examining the effectiveness of discharge planning in reducing lengths of hospital stay [ 15- 20] and hospital readmissions [ 15- 20] have several limitations, supporting the need for this current review.
In addition to reducing lengths of stay and therefore inpatient costs, precision medicine can improve patient outcomes and save lives.
However, there was no evidence that in-hospital pathways reduced length of stay or improved outcome at discharge (death, dependency or destination).
Furthermore, integrated care models used between the acute and home rehabilitation setting may result in a significantly reduced length of stay in acute services.
We implemented a computerized short messaging service to inform care providers of patient delay in order to reduce length of stay.
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