Duignan M, Lao C, Lawrenson R, Wood A J
Department of Otolaryngology, Waikato Hospital, Hamilton, New Zealand.
Waikato Medical Research Centre, Waikato University, Hamilton, New Zealand.
J Laryngol Otol. 2021 Apr;135(4):341-343. doi: 10.1017/S0022215121000803. Epub 2021 Mar 26.
Practices vary regarding the timing of discharge after sinonasal surgery. This study aimed to examine the cost-effectiveness of same-day discharge compared to next-day discharge after sinonasal surgery.
A retrospective single-surgeon audit of sinonasal surgery over a 12-month period was performed. Demographic and clinical details, including distance travelled home, timing of discharge, hospital re-presentation, and complications, were collected and compared between the same-day discharge and next-day discharge groups. A cost-effectiveness analysis was performed.
A total of 181 patients were identified; 117 underwent day-case surgery, of which 6 re-presented to the emergency department. Sixty-four patients stayed overnight after surgery, and six of those patients re-presented to the emergency department. The per patient cost was $3262 for day-case sinonasal surgery and $5050 for those admitted overnight after surgery (p < 0.001).
Routine same-day discharge after sinonasal surgery is achievable, safe and cost-effective.
鼻窦手术后出院时间的做法各不相同。本研究旨在探讨鼻窦手术后当日出院与次日出院相比的成本效益。
对12个月期间的鼻窦手术进行了一项回顾性单外科医生审计。收集了人口统计学和临床细节，包括回家路程、出院时间、再次入院情况和并发症，并在当日出院组和次日出院组之间进行比较。进行了成本效益分析。
共确定了181例患者；117例接受日间手术，其中6例再次到急诊科就诊。64例患者术后过夜住院，其中6例再次到急诊科就诊。鼻窦日间手术的人均费用为3262美元，术后过夜住院患者的人均费用为5050美元（p<0.001）。
鼻窦手术后常规当日出院是可行的、安全的且具有成本效益。
