Clinical Application and Analysis of Pediatric Day Surgery_West China Medical Journal

Authors：

 LIZhi-chao ¹ , SHANWei ² , DAIYan ¹ ,  MAHong-sheng ¹ , SHUIZhang-lin ³

1. Department of Day Surgery Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Pediatric Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Outpatient Department;West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

MAHong-sheng, Email: mahongsheng63@163.com

Keywords：

Pediatric surgery; Day surgery; Safe; Medical quality

DOI：

10.7507/1002-0179.20150084

Video：

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Objective To assess the efficacy and safety of pediatric day surgery (PDS) program. Methods We retrospectively analyzed 148 pediatric surgeries between June 2012 and June 2013, including 31 for cryptorchidism, 53 for concealed penis, and 64 for hernia. According to the operation mode, these children were divided into PDS group and in-patient group. Analysis of the postoperative complications and hospital stay, and hospitalization expenses was carried out. Results There was no statistical differences on success rate of operation, re-admission rate, postoperative fever, and postoperation nausea and vomiting between the two groups (P>0.05). But compared with the in-patient group, hospitalization expenses, medical cost, therapeutic treatment fee and hospital stay were significantly lower or shorter in the PDS group (P<0.05). Conclusion PDS is a safe and cost-effective program that reduces the average hospitalization days, reduces the per capita hospitalization cost, increases the turnover of beds, and benefits the child and the family.

Citation： LIZhi-chao, SHANWei, DAIYan, MAHong-sheng, SHUIZhang-lin. Clinical Application and Analysis of Pediatric Day Surgery. West China Medical Journal, 2015, 30(2): 279-282. doi: 10.7507/1002-0179.20150084 Copy

1.	Roberts L. Day surgery-national and international:from the past to the future[J]. Ambul Surg, 2006, 12(3):143-145.
2.	Burns LA, Ferber MS. Ambulatory surgery in the United States:development and prospects[J]. J Ambul Care Manage, 1981, 4(3):1-13.
3.	Saint-Maurice C, Kong-Ky BH, Hamza J, et al. Pediatric surgery and anesthesia in a day hospital[J]. Cah Anesthesiol, 1992, 41(4):407-411.
4.	Letts M, Davidson D, Splinter W, et al. Analysis of the efficacy of pediatric day surgery[J]. Can J Surg, 2001, 44(3):193-198.
5.	Farooq M, Tan KR, Crowe S. Fasting times in caregivers of children presenting for ambulatory surgery[J]. Pediatric Anesthesia, 2008, 18(9):820-822.
6.	马洪升, 戴燕. 日间手术治疗模式国内外发展简述[J]. 中国医院管理, 2012, 32(1):47-48.
7.	Bryson GL, Chung F, Finegan BA, et al. Patient selection in ambulatory anesthesia-an evidence-based review:part[J]. Can J Anesth, 2004, 51(8):768-781.
8.	江志伟, 李宁, 黎介寿. 快速康复外科的概念及临床意义[J]. 中国实用外科杂志, 2007, 27(2):131-133.
9.	计虹. 临床路径医疗管理模式的应用研究[J]. 中国医院管理, 2010, 30(11):26-27.
10.	李茜, 刘思, 马洪升. 收益管理理论在日间手术运营模式中的运用[J]. 华西医学, 2013(8):1293-1295.
11.	税章林, 石应康, 马洪升, 等. 日间手术诊疗模式的实践与本土化的思考[J]. 中国医院, 2012, 16(4):38-40.
12.	沈火剑, 李可为, 季福, 等. 日间腹腔镜胆囊切除术的临床应用分析[J]. 肝胆胰外科杂志, 2011, 23(1):43-45.
13.	刘思, 吴洲鹏, 罗艳丽. 开展大隐静脉曲张剥脱术日间病房运营模式的可行性探讨[J]. 中国普外基础与临床杂志, 2012, 19(10):1110-1113.
14.	王保起, 王国栋, 冯振同, 等. 局部麻醉腹股沟疝无张力修补日间手术63例临床分析[J]. 中国全科医学, 2009, 12(13):1219-1220.
15.	于布为. 积极开展小儿麻醉的临床研究[J]. 上海医学, 2012, 35(2):93-94.
16.	刘洋, 于牧川, 刘博, 等. 日间手术不影响腹腔镜胆囊切除术患者的生活质量:中国经验[J]. 腹腔镜外科杂志, 2012, 17(8):567-572.
17.	顾亚明, 季宝轶, 张连丰. 临床路径管理在小儿外科病种中的应用评价[J]. 东南大学学报:医学版, 2012, 31(1):119-121.
18.	Reismann M, Von Kampen M, Laupichler B, et al. Fast-track surgery in infants and children[J]. J Pediatr Surg, 2007, 42(1):234-238.
19.	屠伟峰, 郄文斌. 麻醉科在快速康复外科中的作用和地位[J]. 实用医学杂志, 2012, 28(5):691-693.
20.	戴燕, 彭小华. 快速康复理念在日间腹腔镜胆囊切除术中的应用[J]. 华西医学, 2011, 26(8):1234-1235.

1. Roberts L. Day surgery-national and international:from the past to the future[J]. Ambul Surg, 2006, 12(3):143-145.
2. Burns LA, Ferber MS. Ambulatory surgery in the United States:development and prospects[J]. J Ambul Care Manage, 1981, 4(3):1-13.
3. Saint-Maurice C, Kong-Ky BH, Hamza J, et al. Pediatric surgery and anesthesia in a day hospital[J]. Cah Anesthesiol, 1992, 41(4):407-411.
4. Letts M, Davidson D, Splinter W, et al. Analysis of the efficacy of pediatric day surgery[J]. Can J Surg, 2001, 44(3):193-198.
5. Farooq M, Tan KR, Crowe S. Fasting times in caregivers of children presenting for ambulatory surgery[J]. Pediatric Anesthesia, 2008, 18(9):820-822.
6. 马洪升, 戴燕. 日间手术治疗模式国内外发展简述[J]. 中国医院管理, 2012, 32(1):47-48.
7. Bryson GL, Chung F, Finegan BA, et al. Patient selection in ambulatory anesthesia-an evidence-based review:part[J]. Can J Anesth, 2004, 51(8):768-781.
8. 江志伟, 李宁, 黎介寿. 快速康复外科的概念及临床意义[J]. 中国实用外科杂志, 2007, 27(2):131-133.
9. 计虹. 临床路径医疗管理模式的应用研究[J]. 中国医院管理, 2010, 30(11):26-27.
10. 李茜, 刘思, 马洪升. 收益管理理论在日间手术运营模式中的运用[J]. 华西医学, 2013(8):1293-1295.
11. 税章林, 石应康, 马洪升, 等. 日间手术诊疗模式的实践与本土化的思考[J]. 中国医院, 2012, 16(4):38-40.
12. 沈火剑, 李可为, 季福, 等. 日间腹腔镜胆囊切除术的临床应用分析[J]. 肝胆胰外科杂志, 2011, 23(1):43-45.
13. 刘思, 吴洲鹏, 罗艳丽. 开展大隐静脉曲张剥脱术日间病房运营模式的可行性探讨[J]. 中国普外基础与临床杂志, 2012, 19(10):1110-1113.
14. 王保起, 王国栋, 冯振同, 等. 局部麻醉腹股沟疝无张力修补日间手术63例临床分析[J]. 中国全科医学, 2009, 12(13):1219-1220.
15. 于布为. 积极开展小儿麻醉的临床研究[J]. 上海医学, 2012, 35(2):93-94.
16. 刘洋, 于牧川, 刘博, 等. 日间手术不影响腹腔镜胆囊切除术患者的生活质量:中国经验[J]. 腹腔镜外科杂志, 2012, 17(8):567-572.
17. 顾亚明, 季宝轶, 张连丰. 临床路径管理在小儿外科病种中的应用评价[J]. 东南大学学报:医学版, 2012, 31(1):119-121.
18. Reismann M, Von Kampen M, Laupichler B, et al. Fast-track surgery in infants and children[J]. J Pediatr Surg, 2007, 42(1):234-238.
19. 屠伟峰, 郄文斌. 麻醉科在快速康复外科中的作用和地位[J]. 实用医学杂志, 2012, 28(5):691-693.
20. 戴燕, 彭小华. 快速康复理念在日间腹腔镜胆囊切除术中的应用[J]. 华西医学, 2011, 26(8):1234-1235.

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