Jain N P M, Ogonda L, Trimmings N P
Department of Orthopaedics, Derriford Hospital, Plymouth, Devon, UK.
Ann R Coll Surg Engl. 2008 Jan;90(1):62-4. doi: 10.1308/003588408X242132.
Admission following day-case surgery can be problematic for both the patient and the health service. The purpose of this study was to identify any factors predictive of admission following arthroscopic sub-acromial decompression (ASAD) of the shoulder planned as day-case procedures.
A postal questionnaire provided data for 27 patients undergoing ASAD as a day-case procedure between June 2002 and June 2004.
Eighteen (66.7%) questionnaires were returned. Of respondents, 38.9% (mean age, 58 years) felt the procedure required in-patient admission due to postoperative pain. These patients had an older mean age than those (61.1%) content with a day-case procedure (mean age, 49 years; P = 0.04). Of patients 55 years and older, 67% felt that the procedure should have an in-patient admission due to postoperative pain compared to 11% of patients under the age of 55 years (P = 0.04).
Patient age may be useful as a predictor of the likelihood of postoperative admission for pain control following day-case shoulder surgery and should be taken into account when planning day case lists.
日间手术术后的住院问题对于患者和医疗服务机构来说都可能存在困难。本研究的目的是确定在计划作为日间手术的肩关节镜下肩峰下减压术（ASAD）后，预测患者住院的相关因素。
通过邮寄问卷的方式，收集了2002年6月至2004年6月期间接受ASAD日间手术的27例患者的数据。
共回收18份（66.7%）问卷。在受访者中，38.9%（平均年龄58岁）认为由于术后疼痛该手术需要住院治疗。这些患者的平均年龄高于那些对日间手术满意的患者（61.1%，平均年龄49岁；P = 0.04）。在55岁及以上的患者中，67%认为由于术后疼痛该手术应住院治疗，而55岁以下患者中这一比例为11%（P = 0.04）。
患者年龄可能有助于预测日间肩部手术后因疼痛控制而需要住院的可能性，在安排日间手术名单时应予以考虑。
