Extended day surgery or 23 h surgery (23-hour surgery) is a surgical model where patients arrive to the hospital from home at the day of surgery, are operated and recover in a 23 h surgery unit. 23H surgery units are usually situated near postoperative recovery unit. THe 23 H surgical model was implemented in Kuopio University Hospital 2015 and between May 2017-May 2018 patients were recruited in the present prospective follow up cohort study. Patients were informed and they gave their informed consent. The patients were contacted two weeks after the study and details of their recovery were asked.
Extended day surgery or 23 h surgery is a surgical model where patients arrive to the hospital from home at the day of surgery, are operated and recover in a 23 h surgery unit. 23H surgery units are usually situated near postoperative recovery unit. THe 23 H surgical model was implemented in Kuopio University Hospital 2015 and between May 2017-May 2018 patients were recruited in the present prospective follow up cohort study. Patients were informed and they gave their informed consent. The patients were contacted two weeks after the study and details of their recovery were asked. Satisfaction to the care in 23 h unit and surgical process, were asked. Amount of readmissions, reoperations, contacts to health care professionals and adverse events are recorded. Detailed information about intensity of pain, analgesic need and use in the hospital was recorded and pain interference in daily life for short term recovery period was asked.
Study Type
OBSERVATIONAL
Enrollment
993
Patients were treated in 23 surgical unit
Kuopio University Hospital
Kuopio, Northern Savonia, Finland
Amount of patients discharged from the hospital until 10 am at the first postoperative day
The amount of patients discharged from hospital by the first postoperative day 10 am
Time frame: Postoperative day 1
Pain intensity postoperatively
Pain intensity after surgery for the first 24 hours
Time frame: Postoperative day 1
Analgesic consumption postoperatively
Amount of different analgesics consumed during the 24 h period postoperatively
Time frame: Postoperative day 1
30 days readmission rate
How many patients are admitted to hospital within 30 postoperative days
Time frame: one month after surgery
30 days reoperation rate
How many patients are reoperated within 30 postoperative days
Time frame: one month after surgery
Number of adverse events during 14 postoperative days
Amount of adverse events after surgery within 14 postoperative days
Time frame: 14 days after surgery
Contact to health care during 14 postoperative days
Number of contacts to health care within 14 postoperative days
Time frame: 14 days afte surgery
Patient satisfaction to care in 23 hours process
Scale 0-7 (0= not satisfied, 7 =very satisfied), the higher score the better result
Time frame: 14 days after surgery
Proportion of patients having pain postoperatively
Amount of patients who had pain still two weeks after surgery
Time frame: Two weeks postoperatively
Postoperative pain interference after 23 h surgery
Patient assessed pain interference in daily activities up to 2 weeks after surgery
Time frame: two weeks postoperatively
Analgesic use after 23 h surgery
amount of patients using analgesics two weeks after surgery
Time frame: Two weeks postoperatively
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.