Older Adults and Unanticipated Hospital Admission within 30 Days of Ambulatory Surgery: An Analysis of 53,667 Ambulatory Surgical Procedures.

摘要: Objectives To evaluate whether age is independently associated with greater rate of unanticipated hospital admission within 30 days ambulatory surgery. Design Retrospective database study. Setting The 2012 National Surgical Quality Improvement Project data set. Participants All individuals “outpatient” recorded as their status in the set. Measurements The primary outcome interest was all-cause 30-day period after surgery. Multivariate models were constructed to control for covariate bias. Assessment interactions terms the final model performed using a conditional tree analysis. Results The final analysis included 53,667 surgical cases. There 1,370 (2.5%, 99% confidence interval (CI) = 2.4–2.7%) admissions among cases evaluated. After adjusting potential confounders, (<70 vs ≥70) (odds ratio = 1.54, CI = 1.29–1.84). A classification without postoperative morbidity identified (<60 ≥60) an important decision point leading likelihood (P < .001) surgery. Conclusion Even comorbidities, older adults are at risk Renal failure, chronic obstructive pulmonary disease, current cancer treatment, diabetes mellitus, and history amputation or revascularization also admission. Interventions improve transitions care surgery needed.