Safety of day surgery for patients with special needs
| Autor: | Antoine Lefevre-Scelles, Véronique Fourdrinier, Bertrand Dureuil, Mélanie Roussel, Jérôme Moriceau, Jocelyn Croze, Vincent Compère, Hervé Moizan, Cédric Sciaraffa |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty education.field_of_study business.industry Population Special needs General Medicine Day care Perioperative Anesthesia General Length of Stay Critical Care and Intensive Care Medicine Surgery Hospitalization Anesthesiology and Pain Medicine Ambulatory Surgical Procedures Dental surgery Cohort medicine Humans General anaesthesia business education Retrospective Studies Cohort study |
| Zdroj: | Anaesthesia Critical Care & Pain Medicine. 40:100949 |
| ISSN: | 2352-5568 |
| Popis: | Background The objective of this study was to assess the safety and quality of day care management for dental surgery under general anaesthesia in a population with special needs and to compare with a control population. Methods A retrospective observational cohort study was performed. The study population included all patients who had day care dental surgery under general anaesthesia for one year. The primary endpoint was the rate of unscheduled admission, which was defined as the unplanned need to maintain a hospital stay on the evening of the surgical procedure. Secondary endpoints included occurrence of complications during the perioperative period (either anaesthesia or surgery related)) on the day of surgery (D0) and on day 1 and satisfaction of patients or their relatives. Results Data from 138 patients (70 with special needs and 68 controls) were analysed. In both groups, patients were young (mean age 33 years ± 14 in each group). Special needs were mainly related to autism (34%), cerebral palsy (19%), intellectual disability (19%) and Down syndrome (10 %). Surgical procedures were more extensive in the control group. There was 1 unscheduled admission in the special needs group and 3 in the control group (RR 0.32, 95% CI [0.03; 3.04]). There was no difference in the rate of complications. Conclusion In our cohort, day care management for dental surgery under general anaesthesia is safe and effective for patients with special needs. |
| Databáze: | OpenAIRE |
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