Développement de la chirurgie ambulatoire en France : plus de contraintes pour plus de performance ?

Bontemps, G.

doi:10.1016/j.lpm.2013.09.008

Cited by 8 publications

(1 citation statement)

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“…The concept of elective surgery is undergoing considerable changes, with an increasing emphasis on minimal hospital stays. [1,2] In China, approximately 10% to 20% of elective surgeries are performed via the day-case approach; moreover, the prevalence of day-case surgeries has considerably increased in recent years owing to a shortage in medical supplies resulting from the universal 2-child policy. This increase is equally attributed to advances in minimally invasive laparoscopic surgical techniques, improved anesthetic practices, increased use of short-acting/regional anesthetics, and patient preference for minimal hospital stay.…”

Section: Introductionmentioning

confidence: 99%

Monitoring of home recovery using the 317-nursing mobile application following day-case surgery in children

Li¹,

Huang²,

Su³

et al. 2019

Medicine

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The number of elective day-case surgeries has considerably increased in recent years, especially in China. Few studies have investigated the ability of mobile applications to assist recovery for patients having undergone day-surgery; however, these studies have indicated that the use of mobile applications is cost-efficient and has a positive effect on recovery after surgery. This study aimed to evaluate the utility and efficacy of using the 317-nursing mobile application program (317NAPP) for monitoring home recovery following day-surgery involving high ligation of the hernial sac in pediatric patients. Prospective clinical study involving 2 parallel groups. Patients were randomly divided into the “intervention 317NAPP group” (n = 64) and the control group (n = 63). Patients were followed-up using the 317NAPP in the intervention group and via telephonic consultations in the control group. All patients were enrolled after being provided sufficient guidance with respect to discharge and health education. The health index, including the physiological function, ability to perform daily activities, and the injury response, was evaluated before and 24 hours after surgery. The time duration of each follow-up session was also evaluated in both groups. The preoperative (T1) health index scores were significantly higher than the postoperative (T0) ones in both groups ( P = .00). The quality of recovery (T1–T0) of the intervention group (10.75 ± 5.28) was better than that of the control group (11.78 ± 5.16), but the differences were not significant ( P = .27). In the intervention group, the follow-up time duration was significantly lower in comparison to that in the control group ( P = .00). This study demonstrated that 317NAPP had a positive effect on recovery following day-surgery, and the time-duration for follow-up was shorter than that performed using telephonic consultation. Monitoring recovery using 317NAPP was safe, efficient, inexpensive, and relatively easy; therefore, it may help improve the recovery of patients having undergone day-surgery.

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Section: Introductionmentioning

confidence: 99%

Monitoring of home recovery using the 317-nursing mobile application following day-case surgery in children

Li¹,

Huang²,

Su³

et al. 2019

Medicine

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Surgery of the hallux valgus in an ambulatory setting: a liability risk?

Galois

Serwier

Arashvand

2017

Eur J Orthop Surg Traumatol

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No specific data regarding claims in relation with hallux valgus 1-day surgery are available to our knowledge in the literature. We did not identify in our study specific complications related to ambulatory procedures except for insufficient results. Hallux valgus 1-day surgery does not seem to expose surgeons to higher medicolegal problems than classical hospitalization. Nevertheless, a specific consent form for ambulatory patients is required to limit claims regarding information.

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