Older J
Royal Surrey County Hospital, Guildford.
Ann R Coll Surg Engl. 1988 Jan;70(1):21-3.
Clinical data were obtained for 2838 consecutive patients admitted to a new day case unit in a district general hospital by four consultant surgeons between 1 October 1981 and 30 September 1985. Surgical procedures under general anaesthesia: on 2581 patients were analysed in detail. Intra-articular arthroscopic surgery was performed on 60% of knees. A fifth of patients had manipulation and intra-articular infection of a joint. Surgical operations involving the hands and forearm were required by 17%. Toe surgery was performed on 11% of patients of whom 21% had a distal metatarsal osteotomy. Overnight admission was necessary for 6% of patients because of postanaesthetic difficulties, the operation occurring too late in the day or proving more extensive. The use of day case facilities was an economic saving, pleased 98% of patients and reduced waiting list time significantly, except for patients with serious chronic joint disorders. The waiting list for total hip and knee replacements increased in the four year period.
1981年10月1日至1985年9月30日期间，四位外科顾问医生对一家地区综合医院新设立的日间手术病房收治的2838例连续患者的临床资料进行了收集。对2581例接受全身麻醉手术的患者进行了详细分析。60%的膝关节进行了关节镜下关节内手术。五分之一的患者接受了关节手法操作和关节内感染治疗。17%的患者需要进行手部和前臂手术。11%的患者接受了脚趾手术，其中21%进行了跖骨远端截骨术。6%的患者因麻醉后出现困难、手术时间过晚或手术范围较大而需要过夜住院。除患有严重慢性关节疾病的患者外，使用日间手术设施节省了费用，使98%的患者感到满意，并显著缩短了等候名单时间。在这四年期间，全髋关节和膝关节置换手术的等候名单有所增加。
