Risk factors for immediate failure of outpatient surgery in gynecologic surgery.
endometriosis surgery
gynecologic outpatient surgery
risk factors for immediate failure
urogynecologic surgery
Journal
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
ISSN: 1879-3479
Titre abrégé: Int J Gynaecol Obstet
Pays: United States
ID NLM: 0210174
Informations de publication
Date de publication:
Nov 2022
Nov 2022
Historique:
revised:
29
03
2022
received:
30
12
2021
accepted:
04
04
2022
pubmed:
16
4
2022
medline:
12
10
2022
entrez:
15
4
2022
Statut:
ppublish
Résumé
To describe the risk factors for immediate failure of gynecologic outpatient surgery. The secondary objective was to describe the risk factors for rehospitalization within 30 days after surgery. This is a single-center retrospective cohort study conducted on all patients operated on in outpatient surgery in gynecology at the Lille University Hospital. The primary outcome was defined as any unanticipated admission to the inpatient postoperative care unit on the day of the operation. The secondary outcome was defined as any rehospitalization within 30 days following the intervention. Our statistical analysis included 916 patients operated on between January and July 2019. In our study, 84 patients (9.2%) had an immediate failure of outpatient surgery. The most frequent etiologies were surgical (58.3%). In multivariate analysis with logistic regression, the following variables were associated with an increased risk of immediate failure of outpatient surgery: urogynecologic surgery (P < 0.001), complex laparoscopy (P = 0.004), endometriosis surgery (P < 0.001), and a duration of intervention longer than 1 hour (P < 0.001). We find an increased risk of immediate failure of gynecologic outpatient surgery depending on the type of surgery as well as for surgeries lasting more than 1 hour.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
592-599Informations de copyright
© 2022 International Federation of Gynecology and Obstetrics.
Références
Margovsky A. Unplanned admissions in day-case surgery as a clinical indicator for quality assurance. Aust N Z J Surg. 2000;70(3):216-220.
Greenburg AG, Greenburg JP, Tewel A, Breen C, Machin O, McRae S. Hospital admission following ambulatory surgery. Am J Surg. 1996;172(1):21-23.
Biswas TK, Leary C. Postoperative hospital admission from a day surgery unit: a seven-year retrospective survey. Anaesth Intensive Care. 1992;20(2):147-150.
Fleisher LA, Pasternak LR, Lyles A. A novel index of elevated risk of inpatient hospital admission immediately following outpatient surgery. Arch Surg. 2007;142(3):263-268.
High Authority of Health. Together for the development of outpatient surgery. 2014
Newletters of AFCA 2019. Outpatient Surgery - site de l'Association Française de chirurgie Ambulatoire. Website of the French Association of Ambulatory Surgery.
DGOS. Ambulatory surgery. French Ministry of Solidarity and Health. 2020
Garcea G, Majid I, Pattenden CJ, Sutton CD, Neal CP, Berry DP. Predictive factors for unanticipated admission following day case surgery. J Eval Clin Pract. 2008;14(1):175-177.
Mingus ML, Bodian CA, Bradford CN, Eisenkraft JB. Prolonged surgery increases the likelihood of admission of scheduled ambulatory surgery patients. J Clin Anesth. 1997;9(6):446-450.
Chung F, Mezei G, Tong D. Pre-existing medical conditions as predictors of adverse events in day-case surgery. Br J Anaesth. 1999;83(2):262-270.
Fortier J, Chung F, Su J. Unanticipated admission after ambulatory surgery - a prospective study. Can J Anaesth. 1998;45(7):612-619.
Fancourt-Smith PF, Hornstein J, Jenkins LC. Hospital admissions from the surgical day Care Centre of Vancouver General Hospital 1977-1987. Can J Anaesth. 1990 Sep;37(6):699-704.
Whippey A, Kostandoff G, Paul J, Ma J, Thabane L, Ma HK. Predictors of unanticipated admission following ambulatory surgery: a retrospective case-control study. Can J Anesth. 2013;60(7):675-683.
Gold BS, Kitz DS, Lecky JH, Neuhaus JM. Unanticipated admission to the hospital following ambulatory surgery. JAMA. 1989;262(21):3008-3010.
Mirhashemi R, Harlow BL, Ginsburg ES, Signorello LB, Berkowitz R, Feldman S. Predicting risk of complications with gynecologic laparoscopic surgery. Obstet Gynecol. 1998;92(3):327-331.
Collinet P, Fritel X, Revel-Delhom C, et al. Management of endometriosis: CNGOF/HAS clinical practice guidelines. J Gynecol Obstet Hum. 2018;47(7):265-274.
Korsholm M, Mogensen O, Jeppesen MM, Lysdal VK, Traen K, Jensen PT. Systematic review of same-day discharge after minimally invasive hysterectomy. Int J Gynaecol Obstet. 2017;136(2):128-137.
Caelenberg EV, Regge MD, Eeckloo K, Coppens M. Analysis of failed discharge after ambulatory surgery: unanticipated admission. Acta Chir Belg. 2018;119:139-145.
Twersky R. To be an outpatient, or not to be - selecting the right patients for ambulatory surgery. 1993.
French High Health Authority Enhanced recovery after surgery (ERAS) programs: status and prospects status and outlook. 2016;83.