The aim of this study is to reduce the length of stay after liver surgery by taking account of objective quantitative clinical variables, subjective qualitative clinical variables and non clinical variables.
a new dimension of the activity expected of physicians is to improve the safety of care on the one hand and the control of health care costs on the other. key measures to help them are the publication of national recommendations, assessment of actual practices and the incentive to activity. Internationalwide recent and concordant data suggest that * quality and security of care, after an initial improvement, are going to stall * scientific recommendations are rarely validated by an impact analysis and are not applied * clinical data collected within an administrative framework are unreliable and too generalist * the evaluation, especially in the surgical field, is based on indicators sometimes irrelevant and often unclear
Study Type
OBSERVATIONAL
Enrollment
3,000
this intervention type includes hepatectomies; wedge; segmentectomies etc...
Amiens North Hospital
Amiens, France
Bordeaux Hospital
Bordeaux, France
Beaujon University Hospital
Clichy, France
Lille Regional Hospital
Lille, France
overall postoperative length of stay
the overall postoperative length of stay is defined as the hospitalization between the surgery and patient's discharge. This period includes the readmission for at least 24 hours in case of outcomes related to the surgery.
Time frame: during the 3 months after the surgery
peroperative outcomes
the peroperative outcomes are collected during the surgery and correspond to any event occured during the surgical intervention
Time frame: during the surgical procedure
postoperative outcomes
the postoperative outcomes correspond to any event occured after the surgical intervention. These outcomes include fistulae; bleeding...
Time frame: after the surgery until postoperative month 3
construct of pronostic models
the construct of pronostic models include variables that affect the length of stay; morbidity and mortality
Time frame: after the postoperative month 3
evaluation of PMSI indicators
this evaluation includes the analysis of PMSI indicators; their validity and the influence of centres on hepatectomies results
Time frame: after the postoperative month 3
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Lyon Hospital
Lyon, France
Marseille Hospital
Marseille, France
Paoli calmette institute
Marseille, France
Saint Antoine Hospital
Paris, France
Strasbourg hospital
Strasbourg, France
Gustave Roussy institute
Villejuif, France
...and 1 more locations