Day surgery in Finland: a prospective cohort study of 14 day‐surgery units

Mattila, Kristiina; Hynynen, Markku

doi:10.1111/j.1399-6576.2008.01895.x

Cited by 47 publications

(34 citation statements)

References 16 publications

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“…18 Day surgery is an innovative treatment whose popularity and demand is growing all the time. 1,6,19,20 It offers high-quality and effective surgical management for a wide range of procedures 6,18,20 and is a well-designed, cost-effective and people-serving activity. 6,7,18,19 Surgery and pain treatments constantly develop, so more and more surgeries can be done as a day surgery.…”

Section: Introductionmentioning

confidence: 99%

“…6 In Finland, about 50% of elective operative surgery is done as day surgery, 6 with patients being very satisfied with day surgery. 7,20,24,25 While the health care system benefits from the lower costs of day surgery, patients appreciate a rapid recovery and effective analgesia. 18 Day surgery patients arrive at the hospital on the day of surgery and leave home on the same day 22 or at the latest within 24 hours of surgery.…”

Section: Introductionmentioning

confidence: 99%

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The Quality of Patient Education in Day Surgery by Adult Patients

Rajala¹,

Kaakinen²,

Fordell³

et al. 2018

Journal of PeriAnesthesia Nursing

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Purpose: The purpose of the study was to describe the quality of patient education in day surgery as evaluated by adult patients. Design: Descriptive design using survey methodology. Methods: The data were collected by questionnaire and measured the quality and implementation of education resources for day surgery patients (n=600) in a university hospital. The data were analyzed statistically using basic and multivariate methods. Findings: Half of respondents assessed the implementation of patient education to have been done in a patient-centered and goal-oriented way. Most respondents (81%) were satisfied with the interaction in the patient education. The education resources were reported as good by 77% of respondents. Conclusions: Greater account should be given in patient education to the patients' emotional wellbeing, feelings, their family members and patients' expertise in their own life. In developing patient education, the excellent knowledge and skills of health care staff in educating patients should be utilized.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Quality of Patient Education in Day Surgery by Adult Patients

Rajala¹,

Kaakinen²,

Fordell³

et al. 2018

Journal of PeriAnesthesia Nursing

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“…Uncontrolled pain is also a major cause of nausea and vomiting, further extending the patient's stay in the recovery room (Eriksson et al, 1996;Michaloliakou et al, 1996). The most common reason for unplanned hospital admission across 14 day-surgery units in Finland was unrelieved pain (Mattila & Hynynen, 2009 Level III-2).…”

Section: Adverse Effects Of Painmentioning

confidence: 99%

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

Cohen

Smit

Andrianopoulos³

et al. 2017

Medical Journal of Australia

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Objectives: This study aimed to assess analgesia provided by acupuncture, alone or in combination with pharmacotherapy, to patients presenting to emergency departments with acute low back pain, migraine or ankle sprain. Design: A pragmatic, multicentre, randomised, assessor‐blinded, equivalence and non‐inferiority trial of analgesia, comparing acupuncture alone, acupuncture plus pharmacotherapy, and pharmacotherapy alone for alleviating pain in the emergency department. Setting, participants: Patients presenting to emergency departments in one of four tertiary hospitals in Melbourne with acute low back pain, migraine, or ankle sprain, and with a pain score on a 10‐point verbal numerical rating scale (VNRS) of at least 4. Main outcome measures: The primary outcome measure was pain at one hour (T1). Clinically relevant pain relief was defined as achieving a VNRS score below 4, and statistically relevant pain relief as a reduction in VNRS score of greater than 2 units. Results: 1964 patients were assessed between January 2010 and December 2011; 528 patients with acute low back pain (270 patients), migraine (92) or ankle sprain (166) were randomised to acupuncture alone (177 patients), acupuncture plus pharmacotherapy (178) or pharmacotherapy alone (173). Equivalence and non‐inferiority of treatment groups was found overall and for the low back pain and ankle sprain groups in both intention‐to‐treat and per protocol (PP) analyses, except in the PP equivalence testing of the ankle sprain group. 15.6% of patients had clinically relevant pain relief and 36.9% had statistically relevant pain relief at T1; there were no between‐group differences. Conclusion: The effectiveness of acupuncture in providing acute analgesia for patients with back pain and ankle sprain was comparable with that of pharmacotherapy. Acupuncture is a safe and acceptable form of analgesia, but none of the examined therapies provided optimal acute analgesia. More effective options are needed. Trial registration: Australian New Zealand Clinical Trials Registry, ACTRN12609000989246.

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“…Those outcomes were lower than seen in other studies of ambulatory surgery overall [14][15][16][17]. In this respect, the data provided by Matilla et al [18], after a thorough study of day surgery of all specialties in Finland, revealed rates of admission of 5.9 % and readmission within 24 h postoperatively of 0.1 %. As such, our study may provide a benchmark to evaluate future outpatient orthopedic surgery disposition rates.…”

Section: Discussionmentioning

confidence: 72%