• Department of Day Surgery Center, West China Hospital, Sichuan University, Chengdu 610041, China;
MAHong-sheng, Email: mahongsheng63@163.com
Export PDF Favorites Scan Get Citation

Objective To analysis the reasons of delayed discharge in day surgery ward, so as to provide the basis for discharged quality monitoring of ambulatory surgery management. Methods A retrospective survey was conducted on patients admitted in Department of Day Surgery Center of West China Hospital of Sichuan University from April 2012 to August 2014 after day surgery. The characteristics of patients classified as "delayed discharge patients" were described and the factors associated with delayed discharges were analyzed by using SPSS 19.0 software. Results A total of 14 560 patients were included, of which 81 patients were classified as "delayed discharge", and the rate of delayed discharge was 0.56% (81/14 560). Single disease delayed discharge rates were as follows: gallstone 2.13% (37/1 737), operation for varicose veins of lower limbs 1.91% (11/576), gastrointestinal polyps resection 0.33% (11/3 325), inguinal herniorrhaphy 0.63% (9/1 424), polyp of vocal cord resection 0.21% (4/1 879), breast package block minimally invasive resection 0.11% (2/1 761), choledochoscopy 0.06% (1/1 563) and other surgical 0.26% (6/2 295). No significant differences were found between the delayed discharge patients and normal discharge patients in age and gender (P>0.05). Compared with the normal discharge patients, there were significant differences in the four aspects of operation mode changes, postoperative complications, anesthesia factors and patient's own factors of delayed discharge patients (P<0.05). Conclusion The changes of operation mode, postoperative complications, anesthesia factors and patient's own factors are related to the delay of hospital discharge. Strictly grasping the indications for ambulatory surgery and anesthesia patients, strengthening the admission education, letting the patients accept day surgery fully in psychological and preventing the possible complications and ensure the quality and safety after day surgery.

Citation: LIUYang, LIZhi-chao, MAHong-sheng. Analysis of the Causes of Delay Discharge Patients after Day Surgery in West China Hospital of Sichuan University. Chinese Journal of Evidence-Based Medicine, 2016, 16(4): 383-386. doi: 10.7507/1672-2531.20160060 Copy

  • Previous Article

    Diagnostic Value of Percutaneous Lung Biopsy under CT Guidance for Ground-glass Opacity Pulmonary Lesions
  • Next Article

    Hygiene and Economic Burden of Acute Meningitis and Encephalitis Syndrome from 2007 to 2014 in Jinan City