Ambulatory Surgery, Ambulatory Surgical Procedures, Appendicitis, Cholecystolithiasis, Gynecologic Surgical Procedures, Laparoscopy, Neurosurgery, Ovarian Cysts, Shoulder Impingement Syndrome
Conditions
Keywords
23 h surgery, postoperative recovery, outcome, patient satisfaction, postoperative pain, analgesic, oxycodone, multimodal pain management, extended day surgery
Brief summary
Extended day surgery or 23 h surgery (23-hour surgery) is a surgical model where patients arrive to the hospital from home at the day of surgery, are operated and recover in a 23 h surgery unit. 23H surgery units are usually situated near postoperative recovery unit. THe 23 H surgical model was implemented in Kuopio University Hospital 2015 and between May 2017-May 2018 patients were recruited in the present prospective follow up cohort study. Patients were informed and they gave their informed consent. The patients were contacted two weeks after the study and details of their recovery were asked.
Detailed description
Extended day surgery or 23 h surgery is a surgical model where patients arrive to the hospital from home at the day of surgery, are operated and recover in a 23 h surgery unit. 23H surgery units are usually situated near postoperative recovery unit. THe 23 H surgical model was implemented in Kuopio University Hospital 2015 and between May 2017-May 2018 patients were recruited in the present prospective follow up cohort study. Patients were informed and they gave their informed consent. The patients were contacted two weeks after the study and details of their recovery were asked. Satisfaction to the care in 23 h unit and surgical process, were asked. Amount of readmissions, reoperations, contacts to health care professionals and adverse events are recorded. Detailed information about intensity of pain, analgesic need and use in the hospital was recorded and pain interference in daily life for short term recovery period was asked.
Interventions
OTHER23 h surgery
Patients were treated in 23 surgical unit
Sponsors
Kuopio University Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* adult * gave informed consent
Exclusion criteria
* no informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Analgesic consumption postoperatively | Postoperative day 1 | Amount of different analgesics consumed during the 24 h period postoperatively |
| Amount of patients discharged from the hospital until 10 am at the first postoperative day | Postoperative day 1 | The amount of patients discharged from hospital by the first postoperative day 10 am |
| Pain intensity postoperatively | Postoperative day 1 | Pain intensity after surgery for the first 24 hours |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of adverse events during 14 postoperative days | 14 days after surgery | Amount of adverse events after surgery within 14 postoperative days |
| Contact to health care during 14 postoperative days | 14 days afte surgery | Number of contacts to health care within 14 postoperative days |
| Patient satisfaction to care in 23 hours process | 14 days after surgery | Scale 0-7 (0= not satisfied, 7 =very satisfied), the higher score the better result |
| Postoperative pain interference after 23 h surgery | two weeks postoperatively | Patient assessed pain interference in daily activities up to 2 weeks after surgery |
| Analgesic use after 23 h surgery | Two weeks postoperatively | amount of patients using analgesics two weeks after surgery |
| Proportion of patients having pain postoperatively | Two weeks postoperatively | Amount of patients who had pain still two weeks after surgery |
| 30 days readmission rate | one month after surgery | How many patients are admitted to hospital within 30 postoperative days |
| 30 days reoperation rate | one month after surgery | How many patients are reoperated within 30 postoperative days |
Other
| Measure | Time frame | Description |
|---|---|---|
| Adverse events after 23 h surgery | two weeks after surgery | Adverse events after 23 h surgical procedure |
Countries
Finland
Outcome results
None listed