Gengler I, Carpentier L, Pasquesoone X, Chevalier D, Mortuaire G
Otorhinolaryngology - Head and Neck Surgery Department, University Hospital, Lille, France.
Lille Inflammation Research International Center - Inserm U995, Universite de Lille, Lille, France.
Rhinology. 2017 Sep 1;55(3):274-280. doi: 10.4193/Rhino16.251.
To identify predictive factors of readmission after day-case rhinologic surgery.
A 2-year retrospective chart review of patients scheduled for ambulatory sinonasal surgery in a tertiary medical center was conducted. The operating room and the anesthetic files were screened to identify demographic data, types of procedure, comorbidities and post-operative complications.
From January 2014 to January 2016, 924 outpatient sinonasal procedures were identified. The overall readmission rate within the 30-postoperative days was 5.1% (2.9% for overnight hospital stay, 2.2% for unplanned post procedure visit to the hospital via the emergency room, or directly to the surgical unit within 30 days of discharge). Age at least 50 years, surgical duration at least 80 min, endoscopic sinus surgery procedures and postoperative nasal packing were identified as negative predictive factors of readmission.
Careful scheduling of those higher-risk patients undergoing sinonasal surgery and appropriate postoperative observation should be implemented to improve healthcare quality in an outpatient setting.
确定日间鼻窦手术再入院的预测因素。
对一家三级医疗中心计划进行门诊鼻窦手术的患者进行了为期2年的回顾性病历审查。对手术室和麻醉记录进行筛查，以确定人口统计学数据、手术类型、合并症和术后并发症。
2014年1月至2016年1月，共确定924例门诊鼻窦手术。术后30天内的总体再入院率为5.1%（过夜住院率为2.9%，术后30天内通过急诊室或直接到手术科室进行计划外术后医院就诊的比例为2.2%）。年龄至少50岁、手术时间至少80分钟、内镜鼻窦手术和术后鼻腔填塞被确定为再入院的负面预测因素。
对于接受鼻窦手术的高危患者应进行仔细安排，并进行适当的术后观察，以提高门诊环境下的医疗质量。
