The effectiveness of patient discharge time in One-Day Care (ODC) surgical patients based on PADSS scoring | [Anaesthesia, Pain and Intensive Care • 2024]

Author(s):

1. Nova Maryani: Department of Anesthesiology & Intensive Therapy, Faculty of Medicine & Health Sciences, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia

2. Fadli Robby Amsriza: Department of Surgery, Faculty of Medicine & Health Sciences, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia

3. Alfaina Wahyuni: Department of Obstetrics & Gynecology, Faculty of Medicine & Health Sciences, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia

4. Rozana Lutfa: Faculty of Medicine & Health Sciences, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia

Abstract:

Background & objective: One-day surgery, defined as ambulatory surgery, is a service that provides surgery in certain cases without requiring hospitalization to minimize the cost incurred by one- day surgery service users. The objective of this study was to measure the ideal time for discharge of patients undergoing outpatient surgical procedures prospectively based on the cut- off time of the maximum PADSS (Post Anesthesia Discharge Scoring System) score. Method: This prospective observational study was conducted at a single site. The following patients were included in the inclusion criteria: Patients admitted to the one-day care clinic for scheduled day surgery procedures. Discharge was validated by PADSS scores =9, following the surgeon’s approval and return from the operating room. Results: 76 volunteered patients were assessed using PADSS after returning from the operating room. Heart rate, blood pressure, and oxygen saturation were assessed intraoperatively. The findings revealed that the patients obtained a maximum PADSS score of =9 at the three-hour based on the cut-off time of PADSS. There was no significant correlation between the duration of the surgery and how long the patients get the ideal time to discharge. Conclusion: PADSS for one-day care patients can estimate the patients discharged in less than 24 h. Patients obtained a maximum score at the three-hour and returned home in optimal condition.

Page(s): 248-253

DOI: 10.35975/apic.v28i2.2427

Published: Journal: Anaesthesia, Pain and Intensive Care, Volume: 28, Issue: 2, Year: 2024

Keywords:

Patient Discharge , Ambulatory Surgical Procedures , Post Anesthesia Discharge Scoring System , ODC

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