Predictors of unanticipated admission within 30 days of outpatient sinonasal surgery
| Autor: | X. Pasquesoone, Dominique Chevalier, I. Gengler, Geoffrey Mortuaire, L Carpentier |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Post-Procedure Retrospective cohort study General Medicine Ambulatory Surgical Procedure Nasal packing Surgery Endoscopy 03 medical and health sciences 0302 clinical medicine Paranasal sinuses medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Chart review Ambulatory Medicine 030223 otorhinolaryngology business |
| Zdroj: | Rhinology journal. 55:274-280 |
| ISSN: | 0300-0729 |
| DOI: | 10.4193/rhin16.251 |
| Popis: | OBJECTIVES To identify predictive factors of readmission after day-case rhinologic surgery. METHODS A 2-year retrospective chart review of patients scheduled for ambulatory sinonasal surgery in a tertiary medical center was conducted. The operating room and the anesthetic files were screened to identify demographic data, types of procedure, comorbidities and post-operative complications. RESULTS From January 2014 to January 2016, 924 outpatient sinonasal procedures were identified. The overall readmission rate within the 30-postoperative days was 5.1% (2.9% for overnight hospital stay, 2.2% for unplanned post procedure visit to the hospital via the emergency room, or directly to the surgical unit within 30 days of discharge). Age at least 50 years, surgical duration at least 80 min, endoscopic sinus surgery procedures and postoperative nasal packing were identified as negative predictive factors of readmission. CONCLUSION Careful scheduling of those higher-risk patients undergoing sinonasal surgery and appropriate postoperative observation should be implemented to improve healthcare quality in an outpatient setting. |
| Databáze: | OpenAIRE |
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