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Objective The purpose of this study was to determine if patients undergoing alveolar bone grafting (ABG) can be discharged home on the day of surgery safely and with high satisfaction. Design This is a prospective cohort study of patients who underwent ABG over a 6-month period (August 2022 to February 2023). Medical records were reviewed, and postoperative surveys were provided to assess patient/family experience. Setting Tertiary care free-standing pediatric hospital. Patients and Participants Participants who had ABG using iliac marrow from the posterior iliac crest. Interventions Subjects were assigned to overnight admission (ON) or day surgery (DS) based on hospital bed capacity. Main Outcome Measures Main outcome measures were postoperative medical events and satisfaction with discharge timing. Results 41 participants were included: ON, n = 20 (48.8%); DS, n = 21 (51.2%), and there were no differences between groups in any predictor variable. There were no postoperative medical events. Overall, families reported comfort managing pain, nausea, bleeding, hydration, and nutrition after discharge. Most (83.3% of the DS group and 69.2% of the ON group, P = .644) reported satisfaction with the discharge timing they received, despite this being driven by hospital rather than patient factors. Reasons for some families preferring longer admission included fluid management (n = 2), anxiety about postoperative swelling (n = 2), and a long drive home (n = 1). For the ON group, 16.7% would have preferred same-day discharge. Conclusions Same day discharge is safe and well-received in appropriately selected patients who undergo ABG using posterior iliac crest. Perioperative patient/family education is essential.
Objective The purpose of this study was to determine if patients undergoing alveolar bone grafting (ABG) can be discharged home on the day of surgery safely and with high satisfaction. Design This is a prospective cohort study of patients who underwent ABG over a 6-month period (August 2022 to February 2023). Medical records were reviewed, and postoperative surveys were provided to assess patient/family experience. Setting Tertiary care free-standing pediatric hospital. Patients and Participants Participants who had ABG using iliac marrow from the posterior iliac crest. Interventions Subjects were assigned to overnight admission (ON) or day surgery (DS) based on hospital bed capacity. Main Outcome Measures Main outcome measures were postoperative medical events and satisfaction with discharge timing. Results 41 participants were included: ON, n = 20 (48.8%); DS, n = 21 (51.2%), and there were no differences between groups in any predictor variable. There were no postoperative medical events. Overall, families reported comfort managing pain, nausea, bleeding, hydration, and nutrition after discharge. Most (83.3% of the DS group and 69.2% of the ON group, P = .644) reported satisfaction with the discharge timing they received, despite this being driven by hospital rather than patient factors. Reasons for some families preferring longer admission included fluid management (n = 2), anxiety about postoperative swelling (n = 2), and a long drive home (n = 1). For the ON group, 16.7% would have preferred same-day discharge. Conclusions Same day discharge is safe and well-received in appropriately selected patients who undergo ABG using posterior iliac crest. Perioperative patient/family education is essential.
Objective: To describe the development, content validation, and usability of an application to orient surgical patients and ensure their safety. Method: Methodological study, carried out between July and August 2023, developed in three stages: (1) selection of relevant content based on a review of scientific literature; (2) development of the application; and (3) validation of the content and usability of the software, evaluated using two validated instruments, which were sent to eight nurse judges from the states of São Paulo, Minas Gerais, and Santa Catarina, and eight professional information technology judges from Minas Gerais. Results: The contents of the “Minha Cirurgia” application included information based on relevant scientific literature regarding patient safety, preoperative guidelines, timing of surgery, and post-surgical care. Its content was classified as “superior” and its usability was classified as “the best possible” by the judges. Conclusion: The application was approved by nurses and IT professionals regarding its content and usability. It will be available for free download in the Play Store. The tool is expected to be useful in the education of surgical patients, allowing them to acquire knowledge that supports them in the search for safe care.
RESUMO Objetivo: Descrever o desenvolvimento, a validação de conteúdo e usabilidade de um aplicativo voltado para orientação e segurança do paciente cirúrgico. Método: Estudo metodológico, realizado entre julho e agosto de 2023, desenvolvido em três etapas: (1) seleção de conteúdo relevante a partir de revisão de literatura científica; (2) desenvolvimento do aplicativo e (3) validação do conteúdo e usabilidade do software por meio de dois instrumentos validados enviados de forma online a oito juízes enfermeiros dos estados de São Paulo, Minas Gerais e Santa Catarina e oito juízes profissionais da tecnologia da informação de Minas Gerais. Resultados: O conteúdo do aplicativo “Minha Cirurgia” foi construído contendo informações baseadas na literatura científica relevante identificada relativa aos temas segurança do paciente, orientações pré-operatórias, o momento da cirurgia e cuidados pós-cirúrgicos. Seu conteúdo foi considerado como superior e a usabilidade classificada como a melhor possível pelos juízes. Conclusão: O aplicativo foi aprovado por enfermeiros e profissionais de informática quanto ao seu conteúdo e usabilidade e estará disponível gratuitamente para download na loja de aplicativos Play Store. Espera-se que esta ferramenta seja útil na educação de pacientes cirúrgicos e permita aos mesmos adquirir conhecimentos que os apoi e na busca de um cuidado seguro.
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