A clinical pathway in a post-anaesthesia care unit to reduce length of stay, mortality and unplanned intensive care unit admission

Abstract

A clinical pathway in a post-anaesthesia care unit can significantly reduce length of stay and can improve post-operative outcome.

Cost-effectiveness analysis of a postoperative clinical care pathway in head and neck surgery with microvascular reconstruction

“…Authors have reported savings ranging from $2,232 to $39,419 per patient [4,18-20]. Reducing a patient’s length of stay has been the most dominant factor in these cost savings.…”

“…The breakdown of costs associated with treatment of HNSCC is dominated by hospitalization costs [3]. These studies have shown reduction of the total length of stay by 1.5-5 days and reduction of the average ICU stay by 0.5 days [4,18-20]. Although statistically negligible, these studies reported decreased postoperative pneumonia, malnutrition, and readmission rates, which could contribute to greater patient satisfaction [4].…”

Perioperative medicine and mortality after elective and emergency surgery

“…In one study, the introduction of intermediate care structures decreased both 30-day in-hospital mortality and unplanned ICU admissions. 16 Furthermore, intermediate care structures may allow increased perioperative flows for high-risk patients, including cardiac surgery. 17 The rate of high-risk patients with preexisting comorbidities is increasing in high-income countries and is related to demographic changes.…”

Manual de práctica clínica basado en la evidencia: Controles posquirúrgicos

“…De estos últimos, 7,3 de cada millón podrían relacionarse con la anestesia o con problemas por el cuidado del anestesiólogo (IC 95%: 3, [9][10][11][12]3). Solo un caso de 80 sucedió por problemas en el cuidado postanestésico 4 .…”

“…Este Manual incluye los aspectos clave a considerar para ese abordaje adecuado. La implementación de protocolos de cuidado postanestésico contribuye a reducir la estancia hospitalaria, las complicaciones, la mortalidad y el acceso no planeado a las unidades de cuidado crítico 12 .…”