Day Surgery for Internal Hemorrhoid at an Outpatient Clinic

Abstract Background Frailty is frequently found to be associated with increased healthcare utilisation in western countries, but little is known in Asian population. This study was conducted to investigate the association between frailty and healthcare utilisation in different care settings among community-dwelling older adults in Singapore. Methods Data from a population health survey among community-dwelling adults were linked with an administrative database to retrieve data of healthcare utilisation (including government primary care clinic visits, specialised outpatient clinic visits, emergency department visits, day surgery and hospitalisations) occurred during a six-month look-back period and six-month post-baseline respectively. Baseline frailty status was measured using the five-item FRAIL scale, which was categorised into three groups: robust (0), pre-frail (1–2), and frail (3–5). Negative binomial regression was applied to examine the association between frailty with respective healthcare utilisation (dependent variables), controlling for other confounding variables. Results In our sample of 701 older adults, 64.8% were of robust health, 27.7% were pre-frail, and 7.6% were frail. Compared to the robust group, frail individuals had a higher rate of specialised outpatient clinic visits (incidence rate ratio (IRR): 2.8, 95% confidence interval (CI): 1.2–6.5), emergency department visits (IRR: 3.1, 95%CI: 1.1–8.1), day surgery attendances (IRR: 6.4, 95%CI: 1.3–30.9), and hospitalisations (IRR: 6.7, 95%CI: 2.1–21.1) in the six-month period prior to the baseline and in subsequent 6 months (IRR: 3.3, 95%CI: 1.6–7.1; 6.4, 2.4–17.2; 5.8, 1.3–25.8; 13.1, 4.9–35.0; respectively), controlling for covariates. Conclusions Frailty was positively associated with the number of specialised outpatient clinic visits, emergency department visits, day surgeries and hospitalisations occurred during 6 months prior to and after the baseline. As frailty is a potentially reversible health state with early screening and intervention, providing preventive activities that delay the onset or progression of frailty should have potential effect on delaying secondary and tertiary care utilisation.

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Provision of Internet Information on Day Surgery and Inguinal Hernia Repair in UK Hospitals

Bulletin of The Royal College of Surgeons of England ◽

10.1308/147363511x568451 ◽

2011 ◽

Vol 93 (5) ◽

pp. 1-4

Author(s):

George H Tse ◽

Andrew C de Beaux

Keyword(s):

Inguinal Hernia ◽

Laparoscopic Surgery ◽

Hernia Repair ◽

Outpatient Clinic ◽

Information Dissemination ◽

Day Surgery ◽

The Internet ◽

Consecutive Series ◽

Internet Information ◽

The Uk

The internet has become vital to information dissemination. Patients are increasingly using the internet for enquires regarding healthcare. A study in the UK of more than 1000 patients found that 40% had access to the internet and that 11% sought information prior to an outpatient clinic consultation. In a consecutive series of 105 patients undergoing elective laparoscopic surgery, 31% with access to the internet used it to acquire information on their operation. A similar picture exists in Germany with a reported 18% of patients using the internet prior to surgery.

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Frailty and healthcare utilisation across care settings among community-dwelling older adults in Singapore

10.21203/rs.3.rs-27446/v2 ◽

2020 ◽

Author(s):

GE LIXIA ◽

Chun Wei Yap ◽

Bee Hoon Heng ◽

Woan Shin Tan

Keyword(s):

Older Adults ◽

Emergency Department ◽

Outpatient Clinic ◽

Healthcare Utilisation ◽

Day Surgery ◽

Community Dwelling ◽

Emergency Department Visits ◽

Care Clinic ◽

Community Dwelling Older Adults ◽

Clinic Visits

Abstract Background Frailty is frequently found to be associated with increased healthcare utilisation in western countries, but little is known in Asian population. This study was conducted to investigate the association between frailty and healthcare utilisation in different care settings among community-dwelling older adults in Singapore. Methods Data from a population health survey among community-dwelling adults were linked with an administrative database to retrieve data of healthcare utilisation (including government primary care clinic visits, specialised outpatient clinic visits, emergency department visits, day surgery and hospitalisations) occurred during a six-month look-back period and six-month post-baseline respectively. Baseline frailty status was measured using the five-item FRAIL scale, which was categorised into three groups: robust (0), pre-frail (1–2), and frail (3–5). Negative binomial regression was applied to examine the association between frailty with respective healthcare utilisation (dependent variables), controlling for other confounding variables. Results In our sample of 701 older adults, 64.8% were of robust health, 27.7% were pre-frail, and 7.6% were frail. Compared to the robust group, frail individuals had a higher rate of specialised outpatient clinic visits (incidence rate ratio (IRR): 2.8, 95% confidence interval (CI): 1.2-6.5), emergency department visits (IRR: 3.1, 95%CI: 1.1-8.1), day surgery attendances (IRR: 6.4, 95%CI: 1.3-30.9), and hospitalisations (IRR: 6.7, 95%CI: 2.1-21.1) in the six-month period prior to the baseline and in subsequent six months (IRR: 3.3, 95%CI: 1.6-7.1; 6.4, 2.4-17.2; 5.8, 1.3-25.8; 13.1, 4.9-35.0; respectively), controlling for covariates. Conclusions Frailty was positively associated with the number of specialised outpatient clinic visits, emergency department visits, day surgeries and hospitalisations occurred during 6 months prior to and after the baseline. As frailty is a potentially reversible health state with early screening and intervention, providing preventive activities that delay the onset or progression of frailty should have potential effect on delaying secondary and tertiary care utilisation.

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Day Surgery for Anal Fistula in Outpatient Clinic without Sickbed

Nippon Daicho Komonbyo Gakkai Zasshi ◽

10.3862/jcoloproctology.57.908 ◽

2004 ◽

Vol 57 (10) ◽

pp. 908-911

Author(s):

T. Okasora

Keyword(s):

Anal Fistula ◽

Outpatient Clinic ◽

Day Surgery

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Frailty and healthcare utilisation across care settings among community-dwelling older adults in Singapore

10.21203/rs.3.rs-27446/v3 ◽

2020 ◽

Author(s):

GE LIXIA ◽

Chun Wei Yap ◽

Bee Hoon Heng ◽

Woan Shin Tan

Keyword(s):

Older Adults ◽

Emergency Department ◽

Outpatient Clinic ◽

Healthcare Utilisation ◽

Day Surgery ◽

Community Dwelling ◽

Emergency Department Visits ◽

Care Clinic ◽

Community Dwelling Older Adults ◽

Clinic Visits

Abstract Background Frailty is frequently found to be associated with increased healthcare utilisation in western countries, but little is known in Asian population. This study was conducted to investigate the association between frailty and healthcare utilisation in different care settings among community-dwelling older adults in Singapore.Methods Data from a population health survey among community-dwelling adults were linked with an administrative database to retrieve data of healthcare utilisation (including government primary care clinic visits, specialised outpatient clinic visits, emergency department visits, day surgery and hospitalisations) occurred during a six-month look-back period and six-month post-baseline respectively. Baseline frailty status was measured using the five-item FRAIL scale, which was categorised into three groups: robust (0), pre-frail (1–2), and frail (3–5). Negative binomial regression was applied to examine the association between frailty with respective healthcare utilisation (dependent variables), controlling for other confounding variables. Results In our sample of 701 older adults, 64.8% were of robust health, 27.7% were pre-frail, and 7.6% were frail. Compared to the robust group, frail individuals had a higher rate of specialised outpatient clinic visits (incidence rate ratio (IRR): 2.8, 95% confidence interval (CI): 1.2-6.5), emergency department visits (IRR: 3.1, 95%CI: 1.1-8.1), day surgery attendances (IRR: 6.4, 95%CI: 1.3-30.9), and hospitalisations (IRR: 6.7, 95%CI: 2.1-21.1) in the six-month period prior to the baseline and in subsequent six months (IRR: 3.3, 95%CI: 1.6-7.1; 6.4, 2.4-17.2; 5.8, 1.3-25.8; 13.1, 4.9-35.0; respectively), controlling for covariates. Conclusions Frailty was positively associated with the number of specialised outpatient clinic visits, emergency department visits, day surgeries and hospitalisations occurred during 6 months prior to and after the baseline. As frailty is a potentially reversible health state with early screening and intervention, providing preventive activities that delay the onset or progression of frailty should have potential effect on delaying secondary and tertiary care utilisation.

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