Adverse events and readmissions after day-case urological surgery.

作者: Alvaro Paez , Enrique Redondo , Ana Linares , Emilio Rios , Jorge Vallejo

DOI: 10.1590/S1677-55382007000300005

关键词:

摘要: OBJECTIVE: The literature lacks of studies on postoperative outcomes after urological ambulatory surgery. Our study aims to identify parameters associated with complications within 30 days MATERIALS AND METHODS: Adjusted and unadjusted comparisons between clinical features outcome (complicated uncomplicated). RESULTS: Postoperative course was complicated in 5% the patients. Discharge schedule not completed 1.1% while unplanned visits resulted admission 0.5%. Multivariate analyses could only confirm independent effect type anesthesia diagnosis-related group (DRG) relative weight. CONCLUSIONS: Ambulatory surgery can be safe terms complications. In present under general anesthesia, or a higher DRG weight procedure, increased risk compared regional local lower operations. Patients scheduled for undergoing complex procedures should warned about an incidents and/or readmission.

参考文章(25)
Kim C Coley, Brian A Williams, Stacey V DaPos, Connie Chen, Randall B Smith, None, Retrospective evaluation of unanticipated admissions and readmissions after same day surgery and associated costs. Journal of Clinical Anesthesia. ,vol. 14, pp. 349- 353 ,(2002) , 10.1016/S0952-8180(02)00371-9
N Kalfa, D Forgues, A Rochette, M Lopez, M.P Guibal, E Sabatier-Laval, H Allal, R.B Galifer, Étude comparative de la faisabilité et des limites de la chirurgie ambulatoire chez le nourrisson et chez l'enfant de plus d'un an Annales De Chirurgie. ,vol. 129, pp. 144- 148 ,(2004) , 10.1016/J.ANCHIR.2004.03.004
E. Erhan, G. Ugur, O. Anadolu, M. Saklayan, B. Ozyar, General anaesthesia or spinal anaesthesia for outpatient urological surgery. European Journal of Anaesthesiology. ,vol. 20, pp. 647- 652 ,(2005) , 10.1017/S0265021503001042
Andrew M. Sinclair, Thiru Gunendran, Ian Pearce, , Day-case urological surgery: are we improving? BJUI. ,vol. 99, pp. 491- 493 ,(2007) , 10.1111/J.1464-410X.2007.06675.X
Robert R. Byrne, Brian K. Auge, John Kourambas, Ravi Munver, Fernando Delvecchio, Glenn M. Preminger, Routine ureteral stenting is not necessary after ureteroscopy and ureteropyeloscopy: a randomized trial. Journal of Endourology. ,vol. 16, pp. 9- 13 ,(2002) , 10.1089/089277902753483646
Mahmoud Mohamed, Graham Hollins, Mohamed Eissa, Experience in performing pyelolithotomy and pyeloplasty in children on day-surgery basis Urology. ,vol. 64, pp. 1220- 1222 ,(2004) , 10.1016/J.UROLOGY.2004.08.065
Frances Chung, Gabor Mezei, Factors contributing to a prolonged stay after ambulatory surgery. Anesthesia & Analgesia. ,vol. 89, pp. 1352- 1359 ,(1999) , 10.1097/00000539-199912000-00004
Collier Pe, Fast tracking carotid endarterectomy: practical considerations. Seminars in Vascular Surgery. ,vol. 11, pp. 41- 45 ,(1998)
Maria Owings, Lola Jean Kozak, Ambulatory and inpatient procedures in the United States, 1996. Vital and health statistics. Series 13, Data from the National Health Survey. pp. 1- 119 ,(1998)