Factors associated with prolonged hospital stay in patients operated on for colorectal cancer at the Hospital Nacional Dos de Mayo, Lima, Peru

Abstract

Objective: to determine the factors associated with prolonged hospital stay in patients operated on for colorectal cancer in the I-3 service of the Dos de Mayo
National Hospital, Lima, Peru, 2016-2021. Material and methods: quantitative study, observational design (non-experimental), retrospective, cross-sectional,
analytical. The technique used was the collection of documentary information from medical records and the instrument was the variable data collection form.
The population consisted of 156 patients and the sample consisted of the census population, that is, 156 patients operated on for colorectal cancer. Results: the presence of prolonged hospital stay (>8 days) was 69.9%. Among the preoperative factors that increased hospital stay were comorbidities (p<0.001;
OR:1.59; 95% CI: 1.24-2.04), anemia (p=0.006; OR: 1.39; 95% CI: 1.17-1.66). The clinical stage of the operated RCC was III, the most frequent (75%), as for
the location, the right and left were similar, 46.8% and 49.4% respectively. And of the postoperative factors, surgical site infection (p<0.001; OR: 2.67; 95% CI:
1.96-3.63), anastomotic dehiscence (p<0.001; OR: 1.59; 95% CI: 1.39-1.81), adynamic ileus (p<0.001; OR: 3.17; 95% CI: 2.09-4.80) and postoperative
pneumonia (p<0.001; OR: 1.63; 95% CI: 1.41-1.87) increased hospital stay significantly.