TO ASSESS THE EPIDEMIOLOGY OF DAY CARE SURGERY IN A TERTIARY CARE CENTER

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Sandeep Sarawagi ◽  
Pramod Kumar ◽  
Devi Singh Kachhawa
Keyword(s):  
Day Care ◽  
Single Unit ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Day Care Surgery ◽  
Selection For ◽  
Care Surgery ◽  
Surgery Department ◽  
Age And Sex

Background: The aim of the present study is to retrospectively analyze the epidemiology of patients admitted in the day care unit of the surgery department. Methods: This study has been done in a single unit of the Department of General surgery at S K Hospital, Sikar on patients attending the OPD as well as admitted for surgery Results: Out of 100 patient  29 were staying in an area which was within 00 to 05 km from hospital,28 were in an area within 06 to 10 km, 24 were staying within 11 to 15 km, 9 were staying within 16 to 20 km and 10 were staying in an area more than 20 km away from hospital. Conclusion: Age and sex was not any criteria for patient selection for day care surgery. Keywords: Day care, Area, Age, Sex, Distance.

scholarly journals TO ASSESS THE EPIDEMIOLOGY OF DAY CARE SURGERY IN A TERTIARY CARE CENTER

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Sadat Ullah Khan ◽  
Fauzia Arif
Keyword(s):  
Day Care ◽  
Care Delivery ◽  
Care Center ◽  
Tertiary Care ◽  
Health Care Delivery System ◽  
Age Group ◽  
Medical College ◽  
Day Care Surgery ◽  
Selection For ◽  
Care Surgery

Background: Day care surgery offers advantages for health care delivery system around the world and so rates have steadily increased in both developed and developing countries. Methods: This study has been done in a single unit of the Department of General surgery at S M S Medical college, Jaipur on patients attending the OPD as well as admitted for surgery Results: There was no age limit in our study. Out of 100 patients 11 were of age group 0-20 years, 55 were of age group 21-40 years, 25 were of age group 41-60 years, 9 were of age group >60 years. Conclusion: Age and sex was not any criteria for patient selection for day care surgery. Keywords: Age, Sex, Distance.

scholarly journals An analysis of safety and efficacy of day-care surgery in children in a tertiary care hospital in India

2021 ◽  
Vol 26 (3) ◽  
pp. 148
Author(s):  
Raksha Kundal ◽  
Ravikesh Kumar ◽  
SubhasisRoy Choudhury ◽  
PratapSingh Yadav ◽  
Amit Gupta ◽  
...  
Keyword(s):  
Day Care ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Safety And Efficacy ◽  
Day Care Surgery ◽  
Care Surgery

scholarly journals Establishing a multidisciplinary day-care surgery department: Challenges for nursing management

2018 ◽  
Vol 27 (1) ◽  
pp. 133-142 ◽  
Author(s):  
Olaug Øygarden ◽  
Rune Todnem By ◽  
Gunhild Bjaalid ◽  
Aslaug Mikkelsen
Keyword(s):  
Day Care ◽  
Nursing Management ◽  
Day Care Surgery ◽  
Care Surgery ◽  
Surgery Department

scholarly journals Morning report decreases length of stay in trauma patients

2018 ◽  
Vol 3 (1) ◽  
pp. e000185
Author(s):  
John D Wolfe ◽  
James R Gardner ◽  
William C Beck ◽  
John R Taylor ◽  
Avi Bhavaraju ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Linear Model ◽  
Patient Outcomes ◽  
Generalized Linear Model ◽  
Care Center ◽  
Tertiary Care ◽  
Trauma Patients ◽  
Tertiary Care Center ◽  
Morning Report ◽  
Care Surgery

BackgroundModern acute care surgery (ACS) programs depend on consistent patient hand-offs to facilitate care, as most programs have transitioned to shift-based coverage. We sought to determine the impact of implementing a morning report (MR) model on patient outcomes in the trauma service of a tertiary care center.MethodsThe University of Arkansas for Medical Sciences (UAMS) Division of ACS implemented MR in October 2015, which consists of the trauma day team, the emergency general surgery day team, and a combined night float team. This study queried the UAMS Trauma Registry and the Arkansas Clinical Data Repository for all patients meeting the National Trauma Data Bank inclusion criteria from January 1, 2011 to April 30, 2018. Bivariate frequency statistics and generalized linear model were run using STATA V.14.2ResultsA total of 11 253 patients (pre-MR, n=6556; post-MR, n=4697) were analyzed in this study. The generalized linear model indicates that implementation of MR resulted in a significant decrease in length of stay (LOS) in trauma patients.DiscussionThis study describes an approach to improving patient outcomes in a trauma surgery service of a tertiary care center. The data show how an MR session can allow for patients to get out of the hospital faster; however, broader implications of these sessions have yet to be studied. Further work is needed to describe the decisions being made that allow for a decreased LOS, what dynamics exist between the attendings and the residents in these sessions, and if these sessions can show some of the same benefits in other surgical services.Level of evidenceLevel 4, Care Management.

scholarly journals Impact of acute care surgery model in aspects of patients with upper gastrointestinal hemorrhage: result from a single tertiary care center in Thailand

2021 ◽  
Vol 6 (1) ◽  
pp. e000570
Author(s):  
Sirasit Laohathai ◽  
Jittima Jaroensuk ◽  
Sira Laohathai ◽  
Wasin Laohavinij
Keyword(s):  
Developing Countries ◽  
Mortality Rate ◽  
Lower Risk ◽  
Care Center ◽  
Tertiary Care ◽  
Acute Care Surgery ◽  
Tertiary Care Center ◽  
Upper Gastrointestinal Hemorrhage ◽  
Care Surgery ◽  
Upper Gastrointestinal

BackgroundEven though an acute care surgery (ACS) model has been implemented worldwide, there are still relatively few studies on its efficacy in developing countries, which often have limited capacity and resources. To evaluate ACS efficacy in a developin country, we compared mortality rates and intervention timeliness at a tertiary care center in Thailand among patients with an upper gastrointestinal hemorrhage (UGIH).MethodsThis retrospective study compared two 24-month periods between pre-ACS and post-ACS implementations from July 1, 2014, to June 30, 2018. Medical records from consecutive patients with UGIH in the surgical department of Chonburi Hospital, Thailand, were reviewed. The primary outcome was UGIH mortality rate differences between pre-ACS and post-ACS implementations. Differences in complications rate, length of hospital stay (LOS), time to esophagogastroduodenoscopy (EGD) and proportion of patients undergoing esophagogastroduodenoscopy (%EGD) in the same admission were also analyzed using unpaired t-test and Fisher’s exact test. Baseline characteristic differences between the pre-ACS and post-ACS periods were controlled for in multiple linear and logistic regression models.ResultsA total of 421 patients were included (162 pre-ACS and 259 post-ACS). Results showed a mortality rate of 24% in post-ACS compared with 41% in pre-ACS period (p<0.001). Overall complications (38% vs 27%), LOS (6.4 days vs 5.6 days) and time to EGD (44 hours vs 25 hours) were also significantly reduced, whereas %EGD increased (70% vs 89%). After adjusting for covariates, patients in the post-ACS period had lower risk of death (OR 0.54, p=0.040), lower risk of developing respiratory complications (OR 0.52, p=0.036), higher chance of receiving EGD in the same admission (OR 2.94, p<0.001) and shortened time to EGD for 19 hours (p<0.001).DiscussionOur results provide evidence that ACS can be implemented to improve patient outcomes at medical centers in developing countries with limited resources.Level of evidenceTherapeutic/care management, level IV.

scholarly journals A Comparative Study between Day Care and Routine Care Inguinal Hernia Mesh Repair

2021 ◽  
Vol 8 (6) ◽  
pp. 140-147
Author(s):  
Ashwani Kumar ◽  
Devadatta Poddar ◽  
C Raja Bhanu Kiran
Keyword(s):  
Patient Satisfaction ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Day Care ◽  
Tertiary Care ◽  
Routine Care ◽  
Care Group ◽  
Hernia Surgery ◽  
Day Care Surgery ◽  
Care Surgery

Inguinal hernia is one of the oldest diseases known to mankind. If not treated on time, patient may land up with complications. The basic principle of hernia surgery is tension free repair. There are no guidelines regarding an ideal surgery or anaesthesia to be used for inguinal hernia repair. Around 10-12% patient visiting outpatient clinic suffer from inguinal hernia and occupy a significant space in the operative list. Day care surgery in which the patient is discharged within 24 hours of surgery is gradually becoming the norm. A lot of centres are performing exclusive day care surgery with a good patient acceptance, thus reducing the burden on the hospital. In this study conducted on 68 patients in a public tertiary care centre, we have compared day care versus routine care inguinal hernia surgery with 34 patients in each group. Lichtenstein hernia repair was done for all patients. The procedure was done under local anaesthesia for the day care surgery group whereas local/spinal/general anaesthesia was used for routine care group. Patients were admitted and discharged on the same day in day care group while patients in routine care group were admitted and discharged as per and norms of in-patient care. The feasibility of the procedure, recovery time, readmission for surgery related complications, and patient satisfaction was compared among the two groups. We concluded that day care surgery is a feasible option, with early recovery, short stay, early ambulation, minimal complications, and significant patient satisfaction. Day care procedures have an edge over routine care public tertiary care hospitals. Keywords: Inguinal hernia, day care surgery, Lichtenstein repair.

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