Tavernier et al reported criteria for early discharge after laparoscopic colorectal surgery. The authors are from Lyon Sud University Hospital, Tulane University, and Lyon University.

Patient selection: status post laparoscopic colorectal surgery


Outcome: A successful discharge was a discharge on postoperative day 2 or 3 without 30-day readmission or complication. A key cause of failed early discharge is an anastomotic leak.


NOTE: The paper reports a cutoff of 150 mg/dL. This is a high number, equivalent to 1500 mg/L. The authors cite a source (Ortega-Deballon et al) for the cutoff which used mg/L.


Criteria - all of the following:

(1) serum CRP < 150 mg/L on the day of discharge

(2) return of bowel function

(3) able to tolerate a diet

(4) pain less than 5 on a 10 cm VAS scale

(5) afebrile during the entire hospital stay



• It is assumed that the patient is not on receiving an antipyretic.



• The negative predictive value of all 5 criteria being met was 0.984.

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