PCN78 - Differences in Postoperative Admission Days and Nursing Care Levels Depending on Type of Surgeries for Colon Cancer Patients

Abstract

To assess differences in postoperative admission days and nursing care levels depending on type of surgeries for colon cancer patients using Diagnosis Procedure Combination database in Japan. Diagnosis Procedure Combination database by Japan Medical Data Center Co., Ltd. was used. We identified colon cancer patients who were admitted to the hospital with surgeries from October 2016 to December 2017. We then assessed average postoperative admission days and nursing care levels (rolling over in bed, transfer, Oral hygiene, meal ingestion, changing clothing, comprehension) for both on postoperative day and on discharge day by the type of surgeries (endoscope, laparoscopic surgery, laparotomy). Of 874 eligible patients, there were 59 endoscope, 550 laparoscopic surgeries and 265 laparotomy patients. Mean age was 72.5 years and 53.4% were men. Average postoperative admission days in endoscope, laparoscopic surgery and laparotomy were 7.2, 13.1 and 17.5 days respectively. In the endoscope, the proportion of patients who unable to transfer or complete oral hygiene decreased from postoperative day to discharge day (39% to 1.7%, 11.9% to 5.1%), while other nursing care levels were less than 10% by the time postoperative day. In the laparoscopic surgery, the proportion of patients who unable to roll over in bed, transfer, complete oral hygiene and change clothing decreased from 82.9% to 0.9%, from 79.1% to 0.7%, from 73,5% to 4.0% and from 54.7% to 1.5% respectively, while from 86.4% to 1.9%, from 67.5% to 1.5%, from 73.2% to 15.5% and from 55.1% to 4.9% in the laparotomy. Postoperative admission days was shorter in endoscope, laparoscopic surgery and laparotomy order. Nursing care levels were the lowest in the endoscope, nursing care levels in the laparoscopic surgery demonstrated greater improvement than in the laparotomy.