Septoplasty as a day-case procedure – a two centre study

Benson-Mitchell, R.; Kenyon, Guy; Gatland, D. J.

doi:10.1017/s0022215100132955

Cited by 30 publications

(24 citation statements)

References 6 publications

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“…These readmission rates are lower than those reported in the contemporary literature [4,8,11]. The readmission rate for (septo)rhinoplasty is 1.38% and the overstay rate is 9.22%.…”

Section: Discussionmentioning

confidence: 64%

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Readmission and overstay after day case nasal surgery

Singh

McCormack

Roberts³

2004

BMC Ear Nose Throat Disord

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BackgroundA readmission is classified as a patient necessitating readmission to hospital due to a post-operative complication following discharge. An overstay however, is classified as a patient having to stay longer than the planned duration in hospital (not having been discharged in the interim) due to a post-operative complication. This study aims to investigate patient-related factors that predispose to readmission or overstay and thus make recommendations to decrease the likelihood of readmission or overstay.MethodIn this retrospective study 312 'day-case nasal procedures', were selected from a total cohort of 4274 ENT patients over a 17-month period. This sub-group was investigated for a range of demographic factors including, age, gender and ethnicity with regards to their relationship to readmission rates and overstay frequency and duration.ResultsThe rates were 2.88% and 9.62% for readmission and overstay respectively. The total number of days spent in hospital as a result of readmission was 27. Epistaxis was the leading cause for readmission/overstay (28.9%) followed by high levels of post-operative pain preventing them from being discharged (23.7%). All procedures in this study had readmission rates that were below those recommended in the guidelines set by the Royal College of Surgeons of England. Women overstayed significantly longer (t = 1.65, p < 0.05) than men.ConclusionsSuitable candidates for day-case ENT surgery highlighted by this study include healthy individuals between the ages of 20 and 60. Operating in the morning would increase the immediate post-operative recovery time, which may reduce the numbers of patients who complain of high levels of pain at the time of discharge. Procedures such as septorhinoplasty being performed routinely in the ambulatory setting require additional research into more effective methods of pain control. Standards need to be improved so that the causes of overstay and readmission are clearly identifiable in patient records.

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“…These readmission rates are lower than those reported in the contemporary literature [4,8,11]. The readmission rate for (septo)rhinoplasty is 1.38% and the overstay rate is 9.22%.…”

Section: Discussionmentioning

confidence: 64%

“…However, previous reports have advocated day case septal surgery as a safe and effective practice [4-6]. Furthermore, a subjective patient based study showed that septoplasty is generally acceptable to the patient in terms of pain and overall satisfaction parameters [5,7].…”

Section: Introductionmentioning

confidence: 99%

Readmission and overstay after day case nasal surgery

Singh

McCormack

Roberts³

2004

BMC Ear Nose Throat Disord

View full text Add to dashboard Cite

show abstract

“…Various studies and guidelines issued by medical organizations have subscribed to an unexpected postoperative admission rate of 0.5% [6], 1.8% [7], 2-3% [11], 4% [9]. In the period of 3 years there were no cases that required post-operative admission for treatment or observation.…”

Section: Discussionmentioning

confidence: 99%

Day Care Surgery in Otolaryngology : a three year Prospective Study

Singh

Kalra²

2004

Medical Journal Armed Forces India

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“…On the other hand, there are more studies available than for antrostomy. Several older studies drew conflicting conclusions regarding day-case management of septoplasty, due to readmission rates that varied from 2% to 13.4% [27][28][29][30][31].…”

Section: Guideline 14mentioning

confidence: 99%