Is day surgery safe? A Danish multicentre study of morbidity after 57,709 day surgery procedures.

作者: B. MAJHOLM , J. ENGBAEK , J. BARTHOLDY , H. OERDING , P. AHLBURG

DOI: 10.1111/J.1399-6576.2011.02631.X

关键词:

摘要: Background Day surgery is expanding in several countries, and it important to collect information about quality. The aim of this study was assess morbidity unanticipated hospital visits 0–30 days post-operatively a large cohort. Methods We prospectively recorded data from 57,709 day procedures performed eight centres over 3-year period. We cross-checked with the National Patient Registry identify complications post-operatively, registrations Danish Register Cause Death were requested. retrieved records 1174 patients assign relation between secondary contact surgery. Results The overall rate return 1.21% [95% confidence interval (CI): 1.12–1.30%] caused by wide range diagnoses. No deaths definitely related surgery. due haemorrhage/haematoma 0.50% (95% CI: 0.44–0.56%), infection 0.44% 0.38–0 49%) thromboembolic events 0.03%. Major rare. surgical highest complication tonsillectomies 11.4%, surgically induced abortions 3.13% inguinal hernia repairs 1.23%. Conclusion This large-scale national confirmed that associated very low visits. Despite rapid expansion surgery, safety has been maintained, major being rare, no

参考文章(33)
Marc Michot, Dieter Conen, Daniel Holtz, Daniel Erni, Marc Daniel Zumstein, Georg Bernhard Ruflin, Nikolaus Renner, Prevention of deep-vein thrombosis in ambulatory arthroscopic knee surgery: A randomized trial of prophylaxis with low--molecular weight heparin. Arthroscopy. ,vol. 18, pp. 257- 263 ,(2002) , 10.1053/JARS.2002.30013
M. SEGERDAHL, M. WARRÉN-STOMBERG, N. RAWAL, M. BRATTWALL, J. JAKOBSSON, Children in day surgery: clinical practice and routines. The results from a nation-wide survey. Acta Anaesthesiologica Scandinavica. ,vol. 52, pp. 821- 828 ,(2008) , 10.1111/J.1399-6576.2008.01669.X
Herbert E. Natof, Complications Associated With Ambulatory Surgery JAMA: The Journal of the American Medical Association. ,vol. 244, pp. 1116- 1118 ,(1980) , 10.1001/JAMA.1980.03310100034026
K. MATTILA, M. HYNYNEN, , Day surgery in Finland: a prospective cohort study of 14 day-surgery units. Acta Anaesthesiologica Scandinavica. ,vol. 53, pp. 455- 463 ,(2009) , 10.1111/J.1399-6576.2008.01895.X
Jouni Ahonen, Day surgery and thromboembolic complications: time for structured assessment and prophylaxis. Current Opinion in Anesthesiology. ,vol. 20, pp. 535- 539 ,(2007) , 10.1097/ACO.0B013E3282F0FFC3
Doris Tong, Frances Chung, David Wong, Predictive Factors in Global and Anesthesia Satisfaction in Ambulatory Surgical Patients Anesthesiology. ,vol. 87, pp. 856- 864 ,(1997) , 10.1097/00000542-199710000-00020
Himat Vaghadia, Louis Scheepers, Pamela M. Merrick, Readmission for bleeding after outpatient surgery. Canadian Journal of Anaesthesia-journal Canadien D Anesthesie. ,vol. 45, pp. 1079- 1083 ,(1998) , 10.1007/BF03012395
Mark A. Warner, Major Morbidity and Mortality Within 1 Month of Ambulatory Surgery and Anesthesia JAMA: The Journal of the American Medical Association. ,vol. 270, pp. 1437- 1441 ,(1993) , 10.1001/JAMA.1993.03510120059031
Anil Gupta, Evidence-based medicine in day surgery. Current Opinion in Anesthesiology. ,vol. 20, pp. 520- 525 ,(2007) , 10.1097/ACO.0B013E3282F021C9