Article

Postoperative hospital admission from a day surgery unit: a seven-year retrospective survey.

Day Surgery Unit, Campbelltown Hospital, New South Wales, Australia.
Anaesthesia and intensive care (impact factor: 1.28). 06/1992; 20(2):147-50. pp.147-50
Source: PubMed

ABSTRACT Postoperative hospital admissions from a hospital-based Day Surgery Unit were reviewed during the period 1984 to 1990. There were 18,321 procedures performed in different specialties. Of these, 225 patients required hospital admissions--a rate of 1.2%. Highest admission rate was found in gynaecological surgery (100 out of 225). Laparoscopic procedures accounted for 64 admissions, of which 13 were due to visceral perforations. Urological surgery resulted in 35 admissions (4.5% of the urological caseload). Perhaps this reflects the patient age group and preexisting medical conditions. Interestingly, there were 13 admissions for social reasons. Many of these admissions were due to either multiple procedures or surgery more extensive than planned. Even with the higher rate of admissions, hospital-based centres probably provide a better quality care for those who require major surgery or develop some complications in the perioperative period.

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    Article: Is day case surgery in urology associated with high admission rates?
    J P Crew, K J Turner, J Millar, D W Cranston
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    ABSTRACT: The nature of the procedures and patients in urological day surgery may lead to high admission rates. A retrospective audit was performed over 8 years (1988 to 1996) to determine admission rates in a urological day surgical unit and examine reasons for and methods of decreasing admissions. The overall admission rate was 9.3%. Higher rates were associated with cystoscopic procedures, with 46% of admissions after bladder tumour cystosurveillance and a further 18% after urethroscopic surgery for urethral strictures. There was a surgical indication for admission in 72% of cases, with an anaesthetic indication in 17%. The study demonstrates that admission rates accompanying urological day surgery are higher than the 3% proposed by The Royal College of Surgeons of England. Achieving a rate of 3% may require restrictive patient selection that will deprive some patients the benefits associated with urological day surgical care.
    Annals of The Royal College of Surgeons of England 12/1997; 79(6):416-9. · 1.23 Impact Factor
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.

Keywords

1.2%. Highest admission rate
 
35 admissions
 
64 admissions
 
admissions
 
different specialties
 
hospital-based Day Surgery Unit
 
patient age group
 
Postoperative hospital admissions
 
preexisting medical conditions
 
social reasons
 
urological caseload
 
Urological surgery
 
visceral perforations
 

T K Biswas