Prospective audit comparing ambulatory day surgery with inpatient surgery for treating cataracts.

Percival, S.P.B.; Setty, S.S.

doi:10.1136/qshc.1.1.38

Cited by 35 publications

(12 citation statements)

References 2 publications

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“…8 Twenty-four-hour ambulatory care in other specialities is well established. [9][10][11] Day case surgery has been found to be safe in a variety of specialties including gynaecology, orthopaedics and general surgery. 12 Early discharge for many minor gynaecological procedures has significant advantages for the patient and the healthcare provider alike.…”

Section: Discussionmentioning

confidence: 99%

A prospective observational study of the safety and acceptability of vaginal hysterectomy performed in a 24‐hour day case surgery setting

Penketh

Griffiths

Chawathe

2007

BJOG

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Objective To assess the safety and acceptability of vaginal hysterectomy with and without simultaneous oophorectomy in a 24-hour day case surgery setting for women with nonprolapse indications for surgery.Design Prospective observational study.Setting A busy teaching hospital and tertiary referral centre for Obstetrics and Gynaecology.Population Seventy-one women from one consultant's practice underwent a vaginal hysterectomy with a planned discharge within 24 hours after the procedure. All women had a body mass index less than 40 and a suitable home environment for routine day case surgery, other than that the women were from an unselected population.Method Prospective observational study.Main outcome measures The duration of the operation and mean blood loss were recorded. Any intraoperative complications were noted. In addition, the proportion of women discharged home within 24 hours of the operation was recorded together with any readmissions to hospital. Returns to theatres and any postoperative complications were also recorded. Postoperative pain scores were assessed 6 and 24 hours after procedure in selected women.Results Seventy-one vaginal hysterectomies were performed as 24-hour day case procedures. The intraoperative complication rate was 1.4%. Sixty-five women were discharged home within 24 hours (91.5%). The readmission rate within this group was 6.2%. The duration of the procedure, mean blood loss, return to theatre rate and incidence of febrile illness were comparable with rates recorded in inpatient studies.Conclusions Vaginal hysterectomy performed as a 24-hour day case procedure appears to be as safe as traditional inpatient management, with a high rate of early discharge and a low rate of readmission. This may have additional advantages for the woman and healthcare provider alike.

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Section: Discussionmentioning

confidence: 99%

A prospective observational study of the safety and acceptability of vaginal hysterectomy performed in a 24‐hour day case surgery setting

Penketh

Griffiths

Chawathe

2007

BJOG

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“…A few studies have been conducted with a primary focus on patient acceptance and preferences in terms of QoL comparing day-case surgery and inpatient surgery [ 7,[23][24][25] and between minimally invasive and traditional open treatment [12]. These studies found that patients' acceptance, in terms of QoL, is similar in both types of procedures.…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life of day-case surgery patients: a pre/posttest survey using the EuroQoL-5D

et al. 2007

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“…Thus if one procedure emerges as less costly and of equal or greater effectiveness than all the other options on each dimension of effectiveness, it is clearly the most cost effective option. For example, Percival and Setty, in their comparison of day surgery with ovemight inpatient care for cataract surgery, measured outcomes in terms of the number of both operative and postoperative complications, and in terms of visual acuity of patients three to six days and 10 weeks to six months after surgery. '0 Patient satisfaction was also elicited through a questionnaire.…”

Section: Measures Ofeffectivenessmentioning

confidence: 99%

Cost-effectiveness analysis.

Robinson

1993

BMJ

302

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Prospective audit comparing ambulatory day surgery with inpatient surgery for treating cataracts.

Abstract: Objectives -To compare the cost effectiveness and safety of inpatient cataract surgery (with one night in hospital postoperatively) with ambulatory day case surgery under local anaesthesia.

Cited by 35 publications

References 2 publications

A prospective observational study of the safety and acceptability of vaginal hysterectomy performed in a 24‐hour day case surgery setting

A prospective observational study of the safety and acceptability of vaginal hysterectomy performed in a 24‐hour day case surgery setting

Health-related quality of life of day-case surgery patients: a pre/posttest survey using the EuroQoL-5D

Cost-effectiveness analysis.

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