Unplanned admission after ambulatory anaesthesia in France: analysis of a database of 36,584 patients

• Published in: Anaesthesia critical care & pain medicine 2021-02, Vol.40 (1), p.100794-100794, Article 100794
• Main Authors: Cabaton, Julien, Thy, Michael, Sciard, Didier, De Paulis, Damien, Beaussier, Marc
• Format: Article
• Language: English
• Subjects: Ambulatory; Complications; Endoscopy; Outpatient surgery; Unplanned admission
• ISSN: 2352-5568; 2352-5568
• DOI: 10.1016/j.accpm.2020.100794

Unplanned admission (UA) after ambulatory procedures is an unexpected event that has organisational and financial impacts. This study was undertaken to determine the current rate of UA in France and to evaluate the factors associated with the occurrence of this event. This is a retrospective analysis of a database of 36,584 patients issued from a private hospital in France. This study received an IRB approval. All of the patients that received ambulatory anaesthesia between April 2015 and June 2017 were included in this database. The overall rate of UA was 1.8% (95%CI: 1.3–2.3]. Hospitalisation after endoscopic procedures (gastrointestinal endoscopy and bronchial fibroscopy) was 1.1% (95%CI: 0.3–1.9), whereas it was 2.5% (95%CI: 1.8–3.2) after surgical procedures (p  60 years, ASA status > 2, general anaesthesia and the type of the procedures were identified risk factors. In this large cohort of ambulatory patients, the rate of UA remains significant. This is probably related, at least partly, to more invasive procedures scheduled in ambulatory setting. However, organisational problems occurred still frequently. Some factors appear to be easily improvable by appropriate preoperative information, better operating theatre scheduling and better analgesic strategy.