Impact of caregiver overnight stay on postoperative outcomes.
Ambulatory Surgical Procedures
/ rehabilitation
Caregivers
Female
Humans
Length of Stay
/ statistics & numerical data
Male
Middle Aged
Outcome Assessment, Health Care
Patient Discharge
/ statistics & numerical data
Patient Readmission
/ statistics & numerical data
Postoperative Period
Retrospective Studies
Visitors to Patients
Clinical effectiveness
Continuous quality improvement
Effectiveness
Evidence-based practice
Health and safety
Patient safety
Journal
International journal of health care quality assurance
ISSN: 0952-6862
Titre abrégé: Int J Health Care Qual Assur
Pays: England
ID NLM: 8916799
Informations de publication
Date de publication:
11 Dec 2019
11 Dec 2019
Historique:
entrez:
16
1
2020
pubmed:
16
1
2020
medline:
8
7
2020
Statut:
ppublish
Résumé
The purpose of this paper is to determine the impact of having a patient-designated caregiver remain overnight with ambulatory extended recovery patients on early postoperative clinical outcomes. This was a retrospective cohort study of patients undergoing surgery requiring overnight stay in a highly resourced free-standing oncology ambulatory surgery center. Postoperative outcomes in patients who had caregivers stay with them overnight were compared with outcomes in those who did not. All other care was standardized. Primary outcomes were postoperative length of stay, hospital readmission rates, urgent care center (UCC) visits within 30 days and perioperative complication rates. Among patients staying overnight, 2,462 (57 percent) were accompanied by overnight caregivers. In this group, time to discharge was significantly lower. Readmissions (though rare) were slightly higher, though the difference was not statistically significant ( This study is unique in its evaluation of the clinical impact of having a caregiver stay overnight with ambulatory surgery patients. Little research has focused on the direct impact of the caregiver on patient outcomes, especially in the ambulatory setting. With increased adoption of minimally invasive surgical techniques and enhanced recovery pathways, a larger number of patients are eligible for short-stay ambulatory surgery. Factors that impact discharge and early postoperative complications are important.
Identifiants
pubmed: 31940152
doi: 10.1108/IJHCQA-12-2018-0282
pmc: PMC7359375
mid: NIHMS1606756
doi:
Types de publication
Journal Article
Langues
eng
Pagination
18-26Subventions
Organisme : NCI NIH HHS
ID : P30 CA008748
Pays : United States
Informations de copyright
© Emerald Publishing Limited.
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