Department of Anaesthesiology, Horsens Regional Hospital, Horsens, Denmark.
Department of Orthopaedic Surgery, Horsens Regional Hospital, Horsens, Denmark.
Anaesthesia. 2017 Jul;72(7):870-878. doi: 10.1111/anae.13876. Epub 2017 Apr 10.
This prospective, observational study explored the need for pain-related unscheduled contact with healthcare services after outpatient surgery. We hypothesised that 10% of outpatients would have pain-related unscheduled contact with healthcare services, and that the incidence would differ depending on the type of surgical procedure. In total, 905 patients who had undergone one of five common outpatient surgical procedures (knee or shoulder arthroscopy, surgical correction of hallux valgus, laparoscopic cholecystectomy or laparoscopic gynaecological procedures) completed an electronic questionnaire one week and eight weeks after surgery. Data from 732 patients (81%) were available for analysis. Within the first eight weeks after surgery, 150 patients (20.5%) had made unscheduled contact with healthcare professionals, in 247 cases due to pain that was most frequent in the first postoperative week. Risk factors were female sex, unemployment and laparoscopic cholecystectomy. The most frequent healthcare contact was with the general practitioner (46.4%), and the most frequent outcome was further information and guidance (41.2%). We have demonstrated that a minority of patients still needed to make contact with health services after outpatient surgery, most often due to inadequate pain management. This finding should be considered when planning postoperative monitoring and care, and developing postoperative patient education.
这项前瞻性、观察性研究探讨了门诊手术后与医疗保健服务相关的疼痛相关非计划性接触的需求。我们假设 10%的门诊患者会因疼痛相关问题与医疗保健服务发生非计划性接触，而且这种发生率会因手术类型的不同而有所差异。共有 905 名接受了五种常见门诊手术之一（膝关节或肩关节镜检查、拇外翻手术矫正、腹腔镜胆囊切除术或腹腔镜妇科手术）的患者在手术后一周和八周时完成了电子问卷。732 名患者（81%）的数据可用于分析。在手术后的头八周内，有 150 名患者（20.5%）因疼痛而与医疗保健专业人员进行了非计划性接触，其中最常见的情况是在术后第一周。风险因素包括女性、失业和腹腔镜胆囊切除术。最常见的医疗保健接触是与全科医生（46.4%），最常见的结果是进一步的信息和指导（41.2%）。我们已经证明，少数患者在门诊手术后仍需要与卫生服务部门联系，最常见的原因是疼痛管理不当。在规划术后监测和护理以及制定术后患者教育时，应考虑到这一发现。
