Dusek, J

Haupt, J

Mrachek, J

Sendelbach, S

Trebesch, D

BMC Complementary and Alternative Medicine

English

PubMed

J Mrachek

J Dusek

D Trebesch

S Sendelbach

J Haupt

Springer - Publisher Connector

POSTER PRESENTATION Open Access
P02.189. GOALS: bundled services to reduce the
length of hospital stay in women undergoing
gynecology oncology surgery
J Mrachek1, J Dusek2, D Trebesch2*, S Sendelbach2, J Haupt2
From International Research Congress on Integrative Medicine and Health 2012
Portland, Oregon, USA. 15-18 May 2012
Purpose
To examine if a multi-modal integrative intervention
(education, early feeding/activity, epidural, integrative
therapies) impacts length of hospital stay (LOS) com-
pared to historical controls in women undergoing sur-
gery for known or suspected endometrial, ovarian, or
cervical cancer.
Methods
The multi-modal intervention combines various thera-
pies into a cohesive program. Prior to surgery, partici-
pants receive explicit patient education, acupuncture and
mind/body therapies to assist with physical and mental
preparation for surgery. On the day of surgery, an epi-
dural is placed prior to general anesthesia administration
to manage post-operative pain. Patients undergo stan-
dard of care surgery. The evening after surgery, patients
eat a high protein “surgical soft” dinner and nurses assist
patients in walking down the hospital halls. Acupuncture
is provided on post-operative days one and two for post-
surgical pain relief, nausea control and for stimulation of
bowel function. Patients’ electronic medical records are
reviewed to obtain intra-operative and post-operative
details including amount of medications administered,
length of surgery, time of admission to post-anesthesia
care unit, time of first ambulation out of the room,
percent of diet eaten first 24 hours, nausea/pain level,
discharge date/time/disposition, and patient satisfaction
scores. The primary endpoint is the difference in patient
LOS following surgery relative to a historical control.
Secondary endpoints include FACT-G, State-Trait Anxi-
ety Inventory, Patient Activated Measure before
admission and roughly six months after discharge from
the hospital.
Results
Forty-one women were enrolled to date. The prelimin-
ary analysis indicated an average LOS of 2.57 days as
compared to 2.89 to 3.39 days for historical controls.
Final analyses will be presented at the meeting.
Conclusion
A bundled approach to care appears to reduce hospital
LOS in women having surgery for endometrial, ovarian, or
cervical cancer. Further research is needed to examine the
efficacy of this approach in a controlled clinical trial.
Author details
1Northwest Anesthesia, Minneapolis, USA. 2Allina Health System, Minneapolis,
USA.
Published: 12 June 2012
doi:10.1186/1472-6882-12-S1-P245
Cite this article as: Mrachek et al.: P02.189. GOALS: bundled services to
reduce the length of hospital stay in women undergoing gynecology
oncology surgery. BMC Complementary and Alternative Medicine 2012 12
(Suppl 1):P245.
2Allina Health System, Minneapolis, USA
Full list of author information is available at the end of the article
Mrachek et al. BMC Complementary and Alternative
Medicine 2012, 12(Suppl 1):P245
http://www.biomedcentral.com/1472-6882/12/S1/P245
© 2012 Mrachek et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative
Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and
reproduction in any medium, provided the original work is properly cited.


P02.189. GOALS: bundled services to reduce the length of hospital stay in women undergoing gynecology oncology surgery

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P02.189. GOALS: bundled services to reduce the length of hospital stay in women undergoing gynecology oncology surgery

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