Postoperative hospital admission from a day surgery unit : a seven-year retrospective survey

Postoperative hospital admissions from a hospital-based Day Surgery Unit were reviewed during the period 1984 to 1990. There were 18,321 procedures performed in different specialties. Of these, 225 patients required hospital admissions--a rate of 1.2%. Highest admission rate was found in gynaecologi...

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Bibliographic Details
Published in:Anaesthesia and intensive care 1992-05, Vol.20 (2), p.147-150
Main Authors: BISWAS, T. K, LEARY, C
Format: Article
Language:English
Subjects:
Aged
Ambulatory Surgical Procedures - statistics & numerical data
Anesthesia, General - adverse effects
Anesthesia, General - statistics & numerical data
Biological and medical sciences
Blood Loss, Surgical - statistics & numerical data
Diagnosis, Differential
Female
Genital Diseases, Female - surgery
Humans
Incidence
Laparoscopy - statistics & numerical data
Medical sciences
Miscellaneous
New South Wales - epidemiology
Outpatient Clinics, Hospital - statistics & numerical data
Pain, Postoperative - epidemiology
Patient Admission - statistics & numerical data
Postoperative Care - statistics & numerical data
Postoperative Complications - epidemiology
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Urologic Diseases - surgery
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Summary:Postoperative hospital admissions from a hospital-based Day Surgery Unit were reviewed during the period 1984 to 1990. There were 18,321 procedures performed in different specialties. Of these, 225 patients required hospital admissions--a rate of 1.2%. Highest admission rate was found in gynaecological surgery (100 out of 225). Laparoscopic procedures accounted for 64 admissions, of which 13 were due to visceral perforations. Urological surgery resulted in 35 admissions (4.5% of the urological caseload). Perhaps this reflects the patient age group and preexisting medical conditions. Interestingly, there were 13 admissions for social reasons. Many of these admissions were due to either multiple procedures or surgery more extensive than planned. Even with the higher rate of admissions, hospital-based centres probably provide a better quality care for those who require major surgery or develop some complications in the perioperative period.
ISSN:0310-057X
1448-0271
DOI:10.1177/0310057x9202000204