State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China.
J Eval Clin Pract. 2019 Oct;25(5):822-826. doi: 10.1111/jep.13123. Epub 2019 Mar 7.
Ambulatory surgery (AS) has become common in recent years. This study explored the causes of unplanned readmission after AS and the trends in the rate of unplanned readmission in the Ocular Trauma Department of Zhongshan Ophthalmic Center.
We collected information on patients who underwent AS from 1 January 2015 to 31 December 2017, summarized the causes of ambulatory hospitalization, and analysed the type of initial surgical procedure and the reasons for 31-day unplanned readmission. The Ocular Trauma Department started to perform AS in around mid-2015, and we collected information on patients who underwent ambulatory pars plana vitrectomy (APPV) from 1 January 2016 to 31 December 2017 to explore the predictive factors for the 31-day unplanned readmission of APPV patients.
In 2015, 2016, and 2017, a total of 3443 patients underwent AS, among whom the three most common causes of ambulatory hospitalization were eye wall and appendages injury, aphakia, and silicone oil-filled eye. Of the 3443 patients, 32 returned for 31-day unplanned readmission, a readmission rate of 0.93%. The most common surgery (34.4%, 11/32) that resulted in unplanned readmission was pars plana vitrectomy (PPV). The major reasons for unplanned readmission were retinal detachment (RD) (34.4%, 11/32) and high intraocular pressure (HIP) (18.8%, 6/32). There were 860 patients who underwent APPV from 1 January 2016 to 31 December 2017, among whom 10 needed 31-day unplanned readmission, and the readmission rate of APPV for ocular trauma in 2016 and 2017 was 1.16%. Length of procedure (P < 0.05) and use of silicone oil filling (P < 0.05) were significantly related to the risk of unplanned readmission for APPV surgery.
It is generally safe to perform AS on patients with ocular trauma. However, longer operative times and silicone oil filling increase the risk of unplanned readmission for APPV surgery.
近年来，门诊手术（AS）已变得普遍。本研究旨在探讨 AS 后计划性再入院的原因，并分析中山眼科中心眼外伤科计划性再入院率的变化趋势。
我们收集了 2015 年 1 月 1 日至 2017 年 12 月 31 日期间接受 AS 的患者信息，总结门诊住院的原因，并分析初次手术类型和 31 天内计划性再入院的原因。眼外伤科于 2015 年年中开始开展 AS，我们收集了 2016 年 1 月 1 日至 2017 年 12 月 31 日期间接受门诊玻璃体切除术（APPV）的患者信息，以探讨 APPV 患者 31 天计划性再入院的预测因素。
2015 年、2016 年和 2017 年，共有 3443 例患者接受 AS，其中门诊住院的三个最常见原因是眼壁和附属物损伤、无晶状体眼和硅油填充眼。在 3443 例患者中，有 32 例在 31 天内计划性再入院，再入院率为 0.93%。导致计划性再入院的最常见手术（34.4%，11/32）是玻璃体切除术（PPV）。计划性再入院的主要原因是视网膜脱离（RD）（34.4%，11/32）和高眼压（HIP）（18.8%，6/32）。2016 年 1 月 1 日至 2017 年 12 月 31 日期间，有 860 例患者接受 APPV，其中 10 例需要 31 天内计划性再入院，2016 年和 2017 年眼外伤 APPV 的再入院率为 1.16%。手术时间（P<0.05）和硅油填充（P<0.05）与 APPV 手术计划性再入院风险显著相关。
对眼外伤患者行 AS 一般是安全的。然而，较长的手术时间和硅油填充会增加 APPV 手术计划性再入院的风险。
