What happens after discharge? Return hospital visits after ambulatory surgery.

摘要: The purpose of this study was to examine the frequency return hospital visits after ambulatory surgery discharge and identify any predictor variables for its occurrence. A retrospective review records all patients returning same within 30 days conducted. Data on that resulted in rehospitalization (as an inpatient or unit [ASU]) treatment as outpatient emergency room were recorded. total 6243 underwent over 12 consecutive months 187 returned which 1.3% complications. Of returns, 54% (ER) 46% rehospitalized inpatients ASU. To factors associated with increased likelihood return, two case controls each visit obtained from medical surgical operated during time period. Results multivariate analysis matched identified urology only significant service predicted returns. (Odds ratio 27.87; confidence interval [CI] 3.78-74.86; P = 0.0002). separate most common ASU procedures performed compared overall population : undergoing varicocelectomy hydrocelectomy 8.3 times more likely (CI 2.090-23.75; 0.0042); dilation curettage three 1.78-5.55; Bleeding reason returns (41.5%), 76.5% these treated discharged through ER. warrants further evaluation. As bleeding ER discharged, effective pre- postprocedure patient education may reduce Better informing regarding prognosis bleeding, advising them alternatives, could inappropriate