Magnitude and associated non-clinical factors of delayed discharge of patients from post-anesthesia care unit in a comprehensive specialized referral hospital in Ethiopia, 2022

Ego, Birhanu Yilma; Admass, Biruk Adie; Tawye, Hailu Yimer; Ahmed, Seid Adem

doi:10.1016/j.amsu.2022.104680

Cited by 3 publications

(4 citation statements)

References 17 publications

(19 reference statements)

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“…There was significant variation in the proportion of delayed discharge from the PACU in different studies, from 0.86% to 61.8%, [ 1 , 6 ] which was significantly higher than that reported in our study. There are several reasons for the large gap between our results and those of the other studies.…”

Section: Discussioncontrasting

confidence: 86%

“…First, the reasons for delayed PACU discharge include both clinical and nonclinical factors (such as unavailability of beds in the ward, unavailability of a porter for transportation, et al). [ 1 ] In some hospitals, nonclinical factors are the main factors. [ 1 ] In our hospital, patients who underwent routine surgery were assigned ward beds before surgery and could return directly to their respective beds after surgery if their conditions met the discharge criteria.…”

Section: Discussionmentioning

confidence: 99%

“…[ 1 ] In some hospitals, nonclinical factors are the main factors. [ 1 ] In our hospital, patients who underwent routine surgery were assigned ward beds before surgery and could return directly to their respective beds after surgery if their conditions met the discharge criteria. Therefore, only the clinical factors were included in the present study.…”

Section: Discussionmentioning

confidence: 99%

“…The post-anesthesia care unit (PACU) is a special area that provides centralized observation and care for postoperative patients with the aim of reducing postoperative morbidity and mortality. [ 1 , 2 ] PACU was an important transition between intraoperative and postoperative monitoring of patients, and an important place to improve work turnover efficiency. [ 3 ] In the PACU, patients are characterized by rapid turnover and changes in their condition.…”

Section: Introductionmentioning

confidence: 99%

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Delayed discharge from post-anesthesia care unit: A 20-case retrospective series

Liu,

Zhang,

Cai

et al. 2023

Medicine

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Objective: To summarize the characteristics of patients with delayed discharge from the post-anesthesia care unit and to analyze the factors and outcomes of delayed discharge. Methods: Twenty cases of delayed discharge from the PACU (PACU stay >2 hours after surgery) of the main operating room in Liaocheng People’s Hospital, a class A tertiary comprehensive hospital, between January 1, 2021, and December 31, 2022, among 28,084 patients who were transferred to the PACU from the operating rooms after surgery, were retrospectively analyzed. The collected data included patient characteristics, American society of anesthesiologists grade, information related to surgery and anesthesia, and outcomes. The factors for delay were assigned to 1 of 6 groups: delayed recovery from anesthesia, surgical complications, cardiovascular instability, hypoxia, inadequate analgesia, and waiting for the operating room. Results: The incidence of delayed discharge from PACU was 0.7‰. Among 20 patients, more than half of the patients were over 65 years of age, American society of anesthesiologists grade II~III, body mass index <30 kg/m2, and urological surgery (7, 35%), liver surgery (4, 20%), thoracic surgery (4, 20%) accounted for a relatively high proportion. Nineteen (95%) patients received general anesthesia with or without peripheral nerve block. The main factors included delayed recovery from anesthesia (6, 30%), surgical complications (5, 25%), cardiovascular complications (4, 20%), hypoxia (3,15%). After discharge from the PACU, 1 (5%) died in the intensive care unit, and the other 19 (95%) patients were safely discharged from the hospital. Conclusion: The incidence of delayed discharge from the PACU was low, and it was more likely to occur in the elderly, during major operations, and under general anesthesia. Delayed recovery from anesthesia was the most common factor. Most patients were safely discharged from the hospital.

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Section: Discussioncontrasting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Delayed discharge from post-anesthesia care unit: A 20-case retrospective series

Liu,

Zhang,

Cai

et al. 2023

Medicine

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Analysis of Adverse Events in the Postanesthesia Unit at a Tertiary Pediatric Hospital

Liu,

Shi

2024

Journal of PeriAnesthesia Nursing

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Analysis of Hospital Length of Stay in Each Diagnostic -Related Groups (DRGs) Carried Out Using the Smart Hospital Research Application

Kozera,

Pikala,

Burzyńska

2024

Journal of Health Study and Medicine

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Background The application of business intelligence (BI) tools in hospitals can enhance the quality and efficiency of care by providing insights into diagnostic, therapeutic, and business processes. BI tools aid in infection monitoring, clinical decision -making, and analysis of hospitalisation durations within Diagnostic-Related Groups (DRGs), identifying inefficiencies and optimizing resource use. Objectives This study aims to analyse hospital length of stay and identify the DRGs with the most inefficient hospitalization times using the BI -driven Smart Hospital application. Materials and methods The Smart Hospital application, developed on the Qlik Sense BI platform, analysed data from the National Health Fund (NFZ), Statistics Poland, e -health Centre (CEZ), and hospitalisations billed by DRG sections. The dataset included 20,376,405 hospitalisations from 2017–2019. Results The average length of stay (ALOS) was 6.2 days, with an effective length of stay (ELOS) of 4.33 days. Ineffective hospitalisation days totalled 30,307,086, accounting for 28.99% of all hospitalizations. The most inefficient DRGs were E53G (Cardiovascular failure), A48 (Complex stroke treatment), N01 (Childbirth), T07 (Trauma conservative treatment), and D28 (Respiratory and thoracic malignancies), contributing to about 14% of all ineffective hospital days. Conclusions Understanding the factors influencing hospitalisation durations in DRGs can improve patient flow management. Future research should compare treatment effectiveness concerning hospitalisation duration to develop optimal strategies for specific patient groups.

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Magnitude and associated non-clinical factors of delayed discharge of patients from post-anesthesia care unit in a comprehensive specialized referral hospital in Ethiopia, 2022

Cited by 3 publications

References 17 publications

Delayed discharge from post-anesthesia care unit: A 20-case retrospective series

Delayed discharge from post-anesthesia care unit: A 20-case retrospective series

Analysis of Adverse Events in the Postanesthesia Unit at a Tertiary Pediatric Hospital

Analysis of Hospital Length of Stay in Each Diagnostic -Related Groups (DRGs) Carried Out Using the Smart Hospital Research Application

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