A 5-YEAR LENGTH OF STAY TREND ANALYSIS FOR SURGICAL PROCEDURES IDENTIFIED BY THE DEPARTMENT OF HEALTH AS SUITABLE FOR ERAS IN THE SOUTH WEST REGION OF ENGLAND

Conference: World Congress of Enhanced Recovery After Surgery and Perioperative Medicine

Abstract:

Objectives: In 2009/10 the Department of Health (DOH) launched the Enhanced Recovery Partnership Programme (ERPP). The programme identified colorectal, urology, gynaecology, and musculoskeletal surgical procedures. This paper presents the effect or ERAS introduction on aggregated mean length of stay (LOS) for the DOH identified procedures across 17 hospitals in the South West region of England.

Methods: Dr Foster software was used to interrogate Hospital Episode Statistic data. Elective spells from Jan 2009 until Oct 2014 were analysed, and aggregated mean LOS was calculated for each calendar year. The procedures chosen for analysis were those identified by the DOH ERPP, and included colorectal procedures, cystectomy, prostatectomy, hysterectomy, hip replacement, and knee replacement.

OPCS codes and HRG codes detailed in DOH ERPP literature were used to construct the data queries.

Results: Over the 5-year time period from Jan 2009 until Oct 2014, across the region aggregated mean LOS reduced for all surgical procedures. In 2014, case-mix adjusted expected LOS figures show that the mean LOS for the colorectal procedures, cystectomy, hysterectomy, prostatectomy, and total hip replacement was between 0.2 and 1.4 days less than expected. Only total knee replacement had a longer LOS than expected for case-mix (0.3 days).

Source: Manual

Preferred by: Tom Wainwright