Overstay and Readmission in Ear, Nose, and Throat Day Surgery—Factors Affecting Postanesthesia Course

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Tolvi , M , Lehtonen , L , Tuominen-Salo , H , Paavola , M , Mattila , K & Aaltonen , L-M 2021 , ' Overstay and Readmission in Ear, Nose, and Throat Day Surgery—Factors Affecting Postanesthesia Course ' , Ear, Nose & Throat Journal , vol. 100 , no. 7 , pp. 477–482 . https://doi.org/10.1177/0145561319872165

Title: Overstay and Readmission in Ear, Nose, and Throat Day Surgery—Factors Affecting Postanesthesia Course
Author: Tolvi, Morag; Lehtonen, Lasse; Tuominen-Salo, Hanna; Paavola, Mika; Mattila, Kimmo; Aaltonen, Leena-Maija
Contributor organization: Korva-, nenä- ja kurkkutautien klinikka
Department of Ophthalmology and Otorhinolaryngology
University of Helsinki
Helsinki University Hospital Area
HUS Helsinki and Uusimaa Hospital District
HUSLAB
HUS Perioperative, Intensive Care and Pain Medicine
Department of Diagnostics and Therapeutics
Anestesiologian yksikkö
Department of Surgery
I kirurgian klinikka (Töölö)
HUS Musculoskeletal and Plastic Surgery
Clinicum
HUS Head and Neck Center
Date: 2021
Language: eng
Number of pages: 6
Belongs to series: Ear, Nose & Throat Journal
ISSN: 0145-5613
DOI: https://doi.org/10.1177/0145561319872165
URI: http://hdl.handle.net/10138/340700
Abstract: Aims:Many procedures in ear, nose, and throat (ENT) day surgery are carried out under local anesthesia in Finland, whereas many other countries use general anesthesia. We investigated overstay and readmission rates in local and general anesthesia at Helsinki University Hospital.Material and Methods:We conducted a retrospective study on ENT (n = 1011) day surgery patients within a 3-month period using the hospital?s surgery database to collect data pertaining to anesthesia, overstays, readmissions, and contacts within 30 days of surgery.Objectives:We examined the effect of American Society of Anesthesiologists (ASA) class, age, sex, type of procedure, and anesthesia type on overstay, contact, and readmission rates.Results:A multivariable logistic regression model included ASA class, age, sex, type of procedure, and anesthesia (local vs general). Sex, age, and type of procedure had an effect on the outcomes of overstay, readmission, or contact. With general anesthesia, 3.2% (n = 23) had an overstay or readmission compared to 1.4% (n = 4) after local anesthesia. This was mainly explained by the number of study outcomes in tonsillar surgery that was performed only in general anesthesia.Conclusions:Day surgery could be done safely using local anesthesia, as the number of study outcomes was no greater than in general anesthesia. Sex, type of procedure, and age affected the rate of study outcomes, but ASA class and anesthesia form did not. Our overstay, contact, and readmission rates are on the same level, or lower, than in international studies.
Subject: 3126 Surgery, anesthesiology, intensive care, radiology
DAY SURGERY
READMISSION
Overstay
Outcome study
Revisit
3125 Otorhinolaryngology, ophthalmology
Peer reviewed: Yes
Rights: cc_by_nc
Usage restriction: openAccess
Self-archived version: publishedVersion


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