Unanticipated hospital admission after ambulatory surgery. | [Journal of Pakistan Medical Association • 2005]

Author(s):

1. Mueenullah Khan: Department of Anaesthesia, Aga Khan University Hospital, Karachi, Pakistan

2. Aliya Ahmed: Department of Anaesthesia, Aga Khan University Hospital, Karachi, Pakistan

3. Laila Abdullah: Department of Anaesthesia, Aga Khan University Hospital, Karachi, Pakistan

4. Azmeena Nizar: Department of Anaesthesia, Aga Khan University Hospital, Karachi, Pakistan

5. Aslam Fareed: Department of Anaesthesia, Aga Khan University Hospital, Karachi, Pakistan

6. Fauzia Anis Kahn: Department of Anaesthesia, Aga Khan University Hospital, Karachi, Pakistan

Abstract:

The unplanned admission rate is considered to be an important measure of the quality of ambulatory surgical units. The objective of our study was to evaluate the unanticipated hospital admission rate from the Surgical Day Care (SDC) unit of our university affiliated teaching hospital and to analyze the reasons for admission. A review of all unanticipated admissions over a one-year period was done. The admission rate was calculated and the reasons for admission were analysed. The overall admission rate was 4.93%. Most of the admissions were ordered by the surgeons (97%). The main reasons for admission were patient observation indicated for various reasons (72%) and patient request (18%). Eighty percent of the admitted patients had received general anaesthesia. Admissions were also related to the male gender (69%), age over 65 years (27%) and surgeries ending in the afternoon (69%). On analyzing the reasons for admission, a large number of admissions were found to be due to preventable causes. We conclude that proper selection of patients, careful scheduling of lists and education of patients and clinical professionals can help to avoid many unanticipated admissions after day care surgical procedures.

Page(s): 251-252

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 55, Issue: 6, Year: 2005

Keywords:

Keywords are not available for this article.

References:

References are not available for this document.

Citations

Citations are not available for this document.

Citations

Downloads

Views