RT info:eu-repo/semantics/article
T1 Ambulatory surgery in orthopedics: experience of over 10,000 patients
A1 Martín Ferrero, Miguel Ángel
A1 Faour Martín, Omar
A1 Simón Pérez, Clarisa
A1 Pérez Herrero, María A.
A1 Pedro Moro, José A. de
K1 Cirugía ortopédica
AB PurposeThe concept of day surgery is becoming an increasingly important part of elective surgery worldwide. Relentless pressure to cut costs may constrain clinical judgment regarding the most appropriate location for a patient’s surgical care. The aim of this study was to determine clinical and quality indicators relating to our experience in orthopedic day durgery, mainly in relation to unplanned overnight admission and readmission rates. Additionally, we focused on describing the main characteristics of the patients that experienced complications, and compared the patient satisfaction rates following ambulatory and non-ambulatory procedures.MethodsWe evaluated 10,032 patients who underwent surgical orthopedic procedures according to the protocols of our Ambulatory Surgery Unit. All complications that occurred were noted. A quality-of-life assessment (SF-36 test) was carried out both pre- and postoperatively. Ambulatory substitution rates and quality indicators for orthopedic procedures were also determined.ResultsThe major complication rate was minimal, with no mortal cases, and there was a high rate of ambulatory substitution for the procedures studied. Outcomes of the SF-36 questionnaire showed significant improvement postoperatively. An unplanned overnight admission rate of 0.14 % was achieved.ConclusionsOur institution has shown that it is possible to provide good-quality ambulatory orthopedic surgery. There still appears to be the potential to increase the proportion of these procedures. Surgeons and anesthesiologists must strongly adhere to strict patient selection criteria for ambulatory orthopedic surgery in order to reduce complications in the immediate postoperative term.
PB Springer Verlag
SN 0949-2658
YR 2014
FD 2014
LK http://uvadoc.uva.es/handle/10324/10623
UL http://uvadoc.uva.es/handle/10324/10623
LA eng
NO Journal of Orthopaedic Science, 2014 vol.19(2):332-338
DS UVaDOC
RD 29-abr-2024