scholarly journals Predictors of unanticipated admission within 30 days of outpatient sinonasal surgery

2017 ◽  
Vol 55 (3) ◽  
pp. 274-280 ◽  
Author(s):  
I. Gengler ◽  
L. Carpentier ◽  
X. Pasquesoone ◽  
D. Chevalier ◽  
G. Mortuaire
Keyword(s):  
Unanticipated Admission

scholarly journals 262 Analysis of the Factors Contributing to Unplanned Admissions of Surgical Day Cases

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
R Al-Zubaidy ◽  
C Greaney ◽  
H Malik ◽  
F Awan
Keyword(s):  
Admission Rate ◽  
Incisional Hernia Repair ◽  
Cost Effective ◽  
Day Surgery ◽  
Root Cause ◽  
Background History ◽  
Unanticipated Admission ◽  
Almost All ◽  
Unplanned Admissions ◽  
Hospital Acquired

Abstract Introduction Day surgery has many benefits including a reduction in waiting lists, cancellations, hospital acquired infections and need for inpatient beds. It is also highly cost effective. The aim of this study is to identify which factors lead to the unanticipated admission of day cases, in order to adjust future patient selection, and retain efficiency Method A list of day cases that took place in 2017 was obtained from the HIPE department in St. Luke’s General Hospital. Day case patients who required admission were retrospectively analysed with the use of patient charts. Patient factors such as age, gender and co morbidities were recorded. The root cause of admission was identified, and the data collated. Results 457-day cases took place during 2017. 35/457 patients were admitted postoperatively (admission rate of 7.8%). The majority of patients were admitted post cholecystectomy (22) and incisional hernia repair (8). Surgical factors were responsible for almost all admissions. Conclusions Surgical factors/complications are not always predictable, but a thorough review of a patient’s background history and imaging can lead to the identification of patients, who should be directed away from day surgery, minimising the need for unexpected admissions, and maximising the efficiency of the unit.

Unanticipated hospital admissions in patients undergoing radiotherapy with or without concurrent chemotherapy: Incidence and predictive factors.

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. 6093-6093
Author(s):  
Nabeel H. Arastu ◽  
Ronald C. Chen ◽  
Marianne Jackson ◽  
Rebecca L. Green ◽  
Bahjat F. Qaqish ◽  
...  
Keyword(s):  
Predictive Factors ◽  
Hospital Admissions ◽  
External Beam Radiotherapy ◽  
Multivariable Analysis ◽  
Concurrent Chemotherapy ◽  
Unplanned Admission ◽  
Curative Intent ◽  
Palliative Intent ◽  
Prophylactic Measures ◽  
Unanticipated Admission

6093 Background: Unanticipated admissions are burdensome for patients and the healthcare system. An improved understanding of their frequency and predictive factors can inform initiatives to prevent such admissions and mitigate their associated human and financial costs. Methods: Electronic medical records of 500 patients undergoing external beam radiotherapy (RT) at our center in 2010 were reviewed. Unanticipated admission within 90 days of initiating RT, and associated clinical factors, were recorded. Chi-squared and uni- and multivariate logistic regression was used to examine factors associated with admission. Results: Unanticipated admissions occurred in 20% (101/500) of patients, mean length of stay was 4 days (range 1-16), and the mean interval between the start of RT and admission was 32 days (0-86 days). The most common indications for admissions were pain (19% of admissions), respiratory distress (15%), and neurologic symptoms (13%). On univariable analysis, 33% of patients treated for palliative intent were admitted (vs. 16% of curative intent patients, p<0.001), as were 26% of patients receiving concurrent chemotherapy (vs. 17% receiving RT alone, p=0.02). Multivariable analysis showed treatment intent, chemotherapy, and marital status to be associated with unplanned admissions (Table). A highly variable rate of unanticipated admission per diagnosis was observed (e.g. 4% for breast, 19% for GI/GU/GYN/ENT, and 37% for metastatic sites). Conclusions: Rates of unanticipated admissions are ≈20% in patients undergoing RT. Approximately 1/3 of patients receiving palliative RT, and more than 1/4 receiving concurrent chemoradiation, experienced an unplanned admission. Prophylactic measures should be studied in these high-risk patients to reduce admission rates, as unplanned admission may be an important quality of care indicator in oncology. [Table: see text]

Unanticipated admission following day surgery

Anaesthesia ◽  
1998 ◽  
Vol 53 (10) ◽  
pp. 1033-1034 ◽  
Author(s):  
S. Deshpande ◽  
J. Watts
Keyword(s):  
Day Surgery ◽  
Unanticipated Admission

Five year retrospective study of unanticipated admission after ambulatory surgery

2014 ◽  
Vol 31 ◽  
pp. 27
Author(s):  
A. L. Barros ◽  
M. R. Duque ◽  
F. Nunes ◽  
S. Ribeiro ◽  
C. Ventura ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Ambulatory Surgery ◽  
Unanticipated Admission

Predictors of unanticipated admission following ambulatory surgery in the pediatric population: a retrospective case-control study

2016 ◽  
Vol 26 (8) ◽  
pp. 831-837 ◽  
Author(s):  
Amanda Whippey ◽  
Gregory Kostandoff ◽  
Heung K. Ma ◽  
Ji Cheng ◽  
Lehana Thabane ◽  
...  
Keyword(s):  
Case Control Study ◽  
Ambulatory Surgery ◽  
Pediatric Population ◽  
Case Control ◽  
Retrospective Case ◽  
Unanticipated Admission ◽  
Control Study

Antiemetic Prophylaxis Does Not Improve Outcomes after Outpatient Surgery When Compared to Symptomatic Treatment 

1999 ◽  
Vol 90 (2) ◽  
pp. 360-371 ◽  
Author(s):  
Phillip E. Scuderi ◽  
Robert L. James ◽  
Lynne Harris ◽  
Grover R. Mims
Keyword(s):  
Outpatient Surgery ◽  
Discharge Rate ◽  
A Priori ◽  
Symptomatic Treatment ◽  
Normal Activity ◽  
Antiemetic Prophylaxis ◽  
Level Of Satisfaction ◽  
Routine Prophylaxis ◽  
History Of ◽  
Unanticipated Admission

Background Although prophylactic administration of antiemetics reduces the incidence of postoperative nausea, vomiting, or both (PONV), there is little evidence to suggest this improves patient outcomes. The authors hypothesized that early symptomatic treatment of PONV will result in outcomes, including time to discharge, unanticipated admission, patient satisfaction, and time to return to normal daily activities, that are similar to those achieved with routine prophylaxis. Methods Men and women (n = 575) scheduled for outpatient surgery during general anesthesia were randomized to receive either 4 mg intravenous ondansetron or placebo before operation and either 1 mg intravenous ondansetron or placebo if postoperative symptomatic treatment of PONV was necessary. Patients were stratified into subgroups by risk factors for PONV. Results No differences occurred in the time to discharge, rate of unanticipated admission, or time to return to normal activity between the prophylaxis and treatment groups. The reported level of satisfaction with control of PONV was 93% in the treatment arm and 97% in the prophylaxis arm, which fall within the limits defined a priori as clinically equivalent. Female patients with a history of motion sickness or PONV who were undergoing highly emetogenic procedures had a higher reported level of satisfaction with prophylaxis than with treatment (100% vs. 90%, P = 0.043); however, the level of satisfaction with the overall outpatient surgical experience was not different. Conclusion Although PONV is unpleasant, the data indicate little difference in outcomes when routine prophylactic medications are administered versus simply treating PONV should symptoms occur.

Unanticipated Admission Following Outpatient Rotator Cuff Repair: An Analysis of 18,061 Cases

Orthopedics ◽  
2018 ◽  
Vol 41 (3) ◽  
pp. 164-168 ◽  
Author(s):  
Joseph A. Gil ◽  
Wesley M. Durand ◽  
Joey P. Johnson ◽  
Avi D. Goodman ◽  
Brett D. Owens ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Unanticipated Admission ◽  
Cuff Repair
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