Postoperative admissions from a hospital-based day surgery unit

Kong, Rui; Wilson, Jeremy M.; Kong, K. L.

doi:10.1016/0966-6532(94)90047-7

Cited by 4 publications

(4 citation statements)

References 6 publications

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“…The overall unplanned admission rate of 2% in this report is at the lower range of the reported series [6][7][8][9][10][11][12][13][14] and complies with the recommendation of the Royal College of Surgeons of England. 15 These admissions were mainly a result of minor postoperative events and no serious consequence was noted.…”

Section: Discussionsupporting

confidence: 87%

“…6 The rate of unplanned admissions varied from less than 1% to almost 10% in a published series. [6][7][8][9][10][11][12][13][14] The Royal College of Surgeons of England recommended an admission rate of less than 3% after day case surgery. 15 The present study aimed to analyse the causes of unplanned admissions in the first 4 years of a day surgery service at Tung Wah Hospital.…”

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confidence: 99%

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Unplanned inpatient admissions in a day surgery service in Hong Kong

Tam

Lee

2001

Annals of the College of Surgeons of Hong Kong

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Objective: To evaluate the cause of inpatient admissions in the first 50 months of a day surgery service in Hong Kong. Method: A retrospective analysis of all unplanned inpatient admissions from the Day Surgery Centre in Tung Wah Hospital from November 1995 to December 1999 was undertaken. The causes of admission were classified and analysed to whether they might be avoidable. Results and conclusion: Two percent of the 1688 day‐patients required inpatient admission. The commonest cause of admission was extended surgery followed by retention of urine. None of the admissions was due to a major complication. Over one‐third of admissions might be avoidable.

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Section: Discussionsupporting

confidence: 87%

mentioning

confidence: 99%

Unplanned inpatient admissions in a day surgery service in Hong Kong

Tam

Lee

2001

Annals of the College of Surgeons of Hong Kong

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“…Other discharge criteria include, successful voiding of urine, managing oral intake and a minimum of a four‐hour observation period post‐anaesthetic. If the discharge criteria are not met then patient overnight admission is deemed necessary, despite the patient being medically fit for same‐day discharge 14‐16 …”

Section: Discussionmentioning

confidence: 99%

“…Management of each patient as a “day case” was not the default management and a streamlined day surgery pathway was not adopted 7 . The integrated structure between day cases and inpatients reduces the emphasis on same‐day discharge and the need to meet the discharge target 14 . This was the case across all three surgical units and could explain the low same‐day discharge rates across the region.…”

Section: Discussionmentioning

confidence: 99%

Improving day surgery rates of anterior cruciate ligament reconstruction surgery in surgical units not dedicated to performing day surgery: A retrospective observational cohort study

Lucocq

Khalil

Roberts

et al. 2021

Evaluation Clinical Practice

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Background and aims Current guidance advises that at least 90% of anterior cruciate ligament reconstructions are performed as day‐case operations. Same‐day surgery rates achieved by surgical units have significant clinical and financial implications. The primary aim of this multi‐centre study was to determine the rate of admission and causes for admissions in patients undergoing anterior cruciate ligament reconstruction. Method Patient documentations were studied for those who underwent an elective anterior cruciate ligament reconstruction between January 2015 and April 2019. Contributing factors related to admission length were investigated and included patient age, gender, body mass index (BMI), operating surgeon, operating hospital, American Society of Anaesthesiology (ASA) grade, and position of the patient on the operating list. Both univariate and multivariate analysis were conducted using the STATA/IC 16.1 statistical package. Results The day surgery rate of anterior cruciate ligament reconstructions were 52% (50/95). Patients positioned later on the operating list were more likely to be admitted post‐operatively (OR, 4.49; P = .002; 95% CI, 1.72‐11.69) and this was the only factor associated with admission. A large majority of admitted patients (95.6%) were admitted without a clinical cause and were otherwise safe for same‐day discharge. Conclusions The day surgery rate for ACL reconstruction remains low, despite an extremely low complication rate. Reconfiguration of the operating lists and positioning anterior cruciate ligament reconstructions earlier in the day will likely increase the same‐day discharge rate and reduce associated costs.

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Unplanned admissions in day surgery

Verco

1996

Ambulatory Surgery

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Postoperative admissions from a hospital-based day surgery unit

Cited by 4 publications

References 6 publications

Unplanned inpatient admissions in a day surgery service in Hong Kong

Unplanned inpatient admissions in a day surgery service in Hong Kong

Improving day surgery rates of anterior cruciate ligament reconstruction surgery in surgical units not dedicated to performing day surgery: A retrospective observational cohort study

Unplanned admissions in day surgery

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