Endovascular aortic repair (EVAR) is a less invasive treatment operation for patients with abdominal aortic aneurysms (AAAs). (1) The procedure involves the placement of an expandable stent graft within the aorta to treat aortic disease without operating directly on the aorta. Comparing EVAR with an open surgical procedure, it has been seen that in the first of these procedures, postoperative inflammatory response is attenuated. This accompanied with a technological improvement in stent graft devices and improved technical expertise, have led, ultimately, to better patient outcomes. (1)
Assuming that, a technically successful EVAR should lead to a length of stay (LOS) of about 1 to 2 days even in high-risk patients if the increased organ demands …show more content…
Unfortunately, it was too long. During the last decade, however, there has been increased interest in optimal multimodal perioperative care to enhance recovery (the fast-track methodology) (Kehlet 2008, Kehlet and Wilmore 2008) Several trials have demonstrated a reduction in the inflammatory response, postoperative nausea and vomiting, and pain by administration of preoperative glucocorticoids. 15–19 In fact, glucocorticoids have been used in EVAR, this approach has been tested in a randomized setting. One of these study is The Intraoperative Methylprednisolone in Endo Vascular Aortic Repair (POMEVAR). The idea with this study, was the hope to shorten hospitalization period.
However, little is known about the specific reasons for why patients are hospitalized during the 1-3 days after an EVAR. Why can´t patients not be discharged? Therefore, the aim of this study was to evaluate clinical and organizational factors responsible for being hospitalized in a well-defined prospective setup in the unit of vascular surgery at Copenhagen University
Assuming that, a technically successful EVAR should lead to a length of stay (LOS) of about 1 to 2 days even in high-risk patients if the increased organ demands …show more content…
Unfortunately, it was too long. During the last decade, however, there has been increased interest in optimal multimodal perioperative care to enhance recovery (the fast-track methodology) (Kehlet 2008, Kehlet and Wilmore 2008) Several trials have demonstrated a reduction in the inflammatory response, postoperative nausea and vomiting, and pain by administration of preoperative glucocorticoids. 15–19 In fact, glucocorticoids have been used in EVAR, this approach has been tested in a randomized setting. One of these study is The Intraoperative Methylprednisolone in Endo Vascular Aortic Repair (POMEVAR). The idea with this study, was the hope to shorten hospitalization period.
However, little is known about the specific reasons for why patients are hospitalized during the 1-3 days after an EVAR. Why can´t patients not be discharged? Therefore, the aim of this study was to evaluate clinical and organizational factors responsible for being hospitalized in a well-defined prospective setup in the unit of vascular surgery at Copenhagen University