scholarly journals Measuring quality of recovery-15 after day case surgery

2016 ◽  
Vol 116 (2) ◽  
pp. 241-248 ◽  
Author(s):  
M. Chazapis ◽  
E.M.K. Walker ◽  
M.A. Rooms ◽  
D. Kamming ◽  
S.R. Moonesinghe
2013 ◽  
Vol 30 (12) ◽  
pp. 743-751 ◽  
Author(s):  
Herjan Mijderwijk ◽  
Stefan van Beek ◽  
Markus Klimek ◽  
Hugo J. Duivenvoorden ◽  
Frank Grüne ◽  
...  

2016 ◽  
Vol 60 (6) ◽  
pp. 224-225
Author(s):  
M. Chazapis ◽  
E. M. K. Walker ◽  
M. A. Rooms ◽  
D. Kamming ◽  
S. R. Moonesinghe

2007 ◽  
Vol 13 (2) ◽  
pp. 121-129 ◽  
Author(s):  
Riitta A Suhonen ◽  
Mauri K Iivonen ◽  
Maritta A Välimäki

2007 ◽  
Vol 17 (1) ◽  
pp. 169-177 ◽  
Author(s):  
Riitta Suhonen ◽  
Heli Virtanen ◽  
Katja Heikkinen ◽  
Kirsi Johansson ◽  
Anne Kaljonen ◽  
...  

2019 ◽  
Vol 13 (3) ◽  
pp. 221-227
Author(s):  
William K Gray ◽  
Jamie Day ◽  
Tim WR Briggs ◽  
Simon Harrison

We aimed to investigate outcomes of transurethral resection of bladder tumour (TURBT) surgery when performed as day-case surgery compared to outcomes for patients who stayed ⩾ 1 night in hospital. Data were taken from the 2017–2018 Hospital Episodes Statistics data set, which contains data for all TURBT procedures conducted within the National Health Service in England. Data were categorised as those seen as day-cases and those that involved an overnight stay. Of 19,383 TURBT procedures, 3466 (17.9%) were classified as day-case surgery. Those who had an overnight stay were significantly older and were significantly more likely to be male, and have significantly greater frailty and comorbidity. After adjusting for confounders, those with an overnight stay had significantly poorer outcomes with regard to mortality and emergency readmission rates. Comparing trusts with the highest and lowest rate, of overnight stay, there were no differences in the profiles of the patients seen or in outcomes. Patients undergoing TURBT as day-case surgery have at least as good outcomes as those having an overnight stay. Investigation of the technical quality of the tumour resection, patient experience and quality of life after day-case surgery for TURBT would provide further insight. Evidence level: 2b


1987 ◽  
Vol 15 (4) ◽  
pp. 389-393 ◽  
Author(s):  
W. M. Weightman ◽  
M. Zacharias

Thiopentone and propofol were used for the induction and maintenance of anaesthesia in unpremedicated patients undergoing minor gynaecological procedures. There were no significant differences in the induction and maintenance characteristics except for a high incidence of pain on injection and a greater fall in the mean systolic blood pressure associated with propofol in comparison with thiopentone. Propofol was associated with a quicker early recovery as well as a faster psychomotor recovery, as tested by a peg-board. However, complete psychomotor recovery was not achieved for up to three hours in some patients receiving propofol and so caution is advised regarding the early street fitness of patients receiving repeated doses of the drug for day case surgery.


2017 ◽  
Vol 132 (1) ◽  
pp. 46-52 ◽  
Author(s):  
S Morris ◽  
E Hassin ◽  
M Borschmann

AbstractObjective:The safety of day-case tonsillectomy is widely documented in the literature; however, there are no evidence-based guidelines recommending patient characteristics that are incompatible with day-case tonsillectomy. This study aimed to identify which patients should be considered unsafe for day-case tonsillectomy based on the likelihood of needing critical intervention.Method:Retrospective review of 2863 tonsillectomy procedures performed at University Hospital Geelong from 1998 to 2014.Results:Of the patients, 7.81 per cent suffered a post-tonsillectomy complication and 4.15 per cent required intervention. The most serious complications, haemorrhage requiring a return to the operating theatre and airway compromise, occurred in 0.56 per cent and 0.11 per cent of patients respectively. The following patient characteristics were significantly associated with poorer outcomes: age of two years or less (p < 0.01), tonsillectomy indicated for neoplasm (p < 0.01) and quinsy (p < 0.05).Conclusion:The authors believe that all elective tonsillectomy patients should be considered for day-case surgery, with the following criteria necessitating overnight observation: age of two years or less; an indication for tonsillectomy of neoplasm or quinsy; and an American Society of Anesthesia score of more than 2.


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