Alharthi Ahmed A, Mohammed Alshaqha, Jamil Mohammad, Mehboob Amjad, Huda Anwar U
Anethesia Department, Security Forces Hospital, Riyadh, Kingdom of Saudi Arabia.
Saudi J Anaesth. 2022 Oct-Dec;16(4):419-422. doi: 10.4103/sja.sja_420_22. Epub 2022 Sep 3.
Unanticipated admissions following ambulatory surgery significantly affect hospital admission and operation room flow. Most of the factors responsible for unanticipated admission following ambulatory surgery were preventable. It is, therefore, crucial to improve patient selection criteria and to identify the risk factors for unanticipated admission during preoperative period. These unanticipated admissions have now been considered as quality care indicator and a target to improve healthcare costs.
To assess the reasons and risk factors for unanticipated hospital admission after ambulatory surgery.
Security Forces Hospital, Riyadh, Kingdom of Saudi Arabia.
In this case-control study, cases who were re-admitted within 48 hours following ambulatory surgery were included. The convenience sampling was used to identify controls. Data including patients' demographics, type of anesthesia and surgery, any intraoperative or postoperative complications, etc., were extracted.
Descriptive statistics is used to summarize the study variables. Mean and standard deviation were used for quantitative variables. Percentage and frequencies were used for qualitative variables. Univariate and multivariate logistic regressions were used to assess risk factors for unanticipated hospital admission after ambulatory surgery.
There were 153 cases and 147 controls in this study. The study found postoperative pain as the most common reason for re-admission after ambulatory surgery followed by bleeding, fever, and asthma exacerbation. Multivariate logistic regression showed age, BMI more than 40, and presence of respiratory disease as risk factors ( < 0.05).
Age, high BMI more than 40, and presence of respiratory disease increase the risk of unanticipated hospital admission after ambulatory surgery.
门诊手术后意外入院对医院入院情况和手术室流程有显著影响。门诊手术后导致意外入院的大多数因素是可以预防的。因此，改进患者选择标准并确定术前意外入院的风险因素至关重要。这些意外入院现在已被视为医疗质量指标和降低医疗成本的目标。
评估门诊手术后意外入院的原因和风险因素。
沙特阿拉伯王国利雅得的安全部队医院。
在这项病例对照研究中，纳入了门诊手术后48小时内再次入院的病例。采用便利抽样法确定对照。提取的数据包括患者的人口统计学信息、麻醉和手术类型、任何术中或术后并发症等。
描述性统计用于总结研究变量。定量变量采用均值和标准差。定性变量采用百分比和频率。单因素和多因素逻辑回归用于评估门诊手术后意外入院的风险因素。
本研究中有153例病例和147例对照。研究发现术后疼痛是门诊手术后再次入院最常见的原因，其次是出血、发热和哮喘加重。多因素逻辑回归显示年龄、BMI超过40以及存在呼吸系统疾病是风险因素（P < 0.05）。
年龄、BMI超过40以及存在呼吸系统疾病会增加门诊手术后意外入院的风险。
