Freeman L N, Schachat A P, Manolio T A, Enger C
Wilmer Ophthalmological Institute, Johns Hopkins University, Baltimore, Maryland 21205.
Ophthalmic Surg. 1988 Oct;19(10):719-23.
We performed a case-control study of patients undergoing planned "outpatient" ophthalmic surgery in order to identify risk factors associated with the need for unplanned admission to the hospital. factors associated with admission included time of completion of surgery, duration of operation, fentanyl dose, use of enflurane, and leukocytosis. A multiple logistic regression model found each of these variables except duration of operation to to be independently associated with unplanned admission with admission included age, present or past medical conditions, use of medications, blood pressure, hematocrit, serum sodium or potassium, and ASA Class. Identification and modification of these factors may help anticipate and/or reduced the incidence of unplanned admission to the hospital in patients undergoing planned outpatient surgery.
我们对接受计划性“门诊”眼科手术的患者进行了一项病例对照研究，以确定与非计划性住院需求相关的风险因素。与住院相关的因素包括手术完成时间、手术时长、芬太尼剂量、恩氟烷的使用以及白细胞增多。多元逻辑回归模型发现，除手术时长外，这些变量中的每一个都与非计划性住院独立相关，与住院相关的因素还包括年龄、当前或既往病史、药物使用情况、血压、血细胞比容、血清钠或钾以及美国麻醉医师协会（ASA）分级。识别并调整这些因素可能有助于预测和/或降低接受计划性门诊手术患者的非计划性住院发生率。
