Bašković Marko, Markanović Martina, Ivanović Sanja, Boričević Zrinka, Alavuk Kundović Sandra, Pogorelić Zenon
Department of Pediatric Surgery, Children's Hospital Zagreb, Ulica Vjekoslava Klaića 16, 10000 Zagreb, Croatia.
School of Medicine, University of Zagreb, Šalata 3, 10000 Zagreb, Croatia.
Children (Basel). 2024 Mar 22;11(4):382. doi: 10.3390/children11040382.
Same-day surgery implies patient discharge on the same day after the surgery. The main aim of the research was to determine which predisposing factors lead to children treated with same-day surgery not being able to be discharged on the same day.
For the purposes of this research, the electronic records of patients in the hospital information system were reviewed retrospectively. The search included patients who were surgically treated through the Day Surgery Unit at the Children's Hospital Zagreb with various diagnoses from 1 January 2021 to 31 December 2023. The target group consisted of patients who could not be discharged on the same day ( = 68), while for the purposes of the control group ( = 68), patients were randomly selected, comparable by age and gender, who were discharged from the hospital on the same day in accordance with the principles of same-day surgery.
In relation to the parameters of interest between the groups, statistically significant differences were observed in the type of general anesthesia ( = 0.027), the use of analgesics ( = 0.016), the time of entering the operating room ( = 0.000), the time of leaving the operating room ( < 0.0001) and the duration of surgery (76.81 ± 37.21 min vs. 46.51 ± 22.46 min, < 0.0001). When explanatory variables were included in the regression model, they explained 38% of the variability in the dependent variable. Only the variable "duration of surgery" provided significant information to explain the variability in the dependent variable ( = 0.004).
Although the duration of surgery was imposed as the main predictor of hospitalization after same-day surgery, and considering the extremely small number of studies on the mentioned topic, especially in the pediatric population, further, preferably multicenter research on the mentioned topic is needed.
当日手术意味着患者在手术后当天出院。该研究的主要目的是确定哪些易感因素导致接受当日手术治疗的儿童无法在同一天出院。
为了本研究的目的，对医院信息系统中患者的电子记录进行了回顾性审查。搜索范围包括2021年1月1日至2023年12月31日在萨格勒布儿童医院日间手术单元接受各种诊断的手术治疗患者。目标组由无法在同一天出院的患者（n = 68）组成，而作为对照组（n = 68），随机选择年龄和性别匹配的患者，这些患者按照当日手术原则在同一天出院。
在两组之间的感兴趣参数方面，在全身麻醉类型（p = 0.027）、镇痛药使用（p = 0.016）、进入手术室时间（p = 0.000）、离开手术室时间（p < 0.0001）和手术持续时间（76.81 ± 37.21分钟对46.51 ± 22.46分钟，p < 0.0001）方面观察到统计学上的显著差异。当将解释变量纳入回归模型时，它们解释了因变量变异性的38%。只有“手术持续时间”变量提供了显著信息来解释因变量的变异性（p = 0.004）。
尽管手术持续时间被认为是当日手术后住院的主要预测因素，并且考虑到关于该主题的研究数量极少，尤其是在儿科人群中，但仍需要对该主题进行进一步的、最好是多中心的研究。
