Analysis of the factors influencing the same-day discharge of surgical patients based on the day pattern_West China Medical Journal

Authors：

XU Lei ,  LIU Xiaonan , YU Deliang , WANG Quan , YU Peihua

Day Surgery Center, the First Affiliated Hospital of the Air Force Military Medical University, Xi’an, Shanxi 710032, P. R. China;

Corresponding?author：

LIU Xiaonan, Email: 15353589999@163.com

Keywords：

Daytime mode; day surgery; patient; discharge on the same-day; influencing factors

DOI：

10.7507/1002-0179.202112123

Video：

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Objective To analyze the influencing factors of single-center day surgery patients who are discharged from the hospital on the same-day, in order to provide reference and basis for the clinical practice of follow-up day surgery. Methods The electronic medical records of patients who underwent day surgery in the Day Surgery Center of the First Affiliated Hospital of the Air Force Military Medical University between February and October 2021 were analyzed retrospectively. The patients were divided into the same-day discharge group and non-same-day discharge group. The baseline data and perioperative indicators of the patients were analyzed. Results A total of 857 patients were included, including 264 patients (30.81%) in the same-day discharge group and 593 patients (69.19%) in the non-same-day discharge group. Univariate analysis showed that there were significant differences between the two groups in gender, age, body mass index, whether the first one, disease classification, anesthesia method, and intraoperative blood loss (P<0.05). Logistic regression analysis showed that gender, whether the first one, disease classification, surgical grade, anesthesia method, and intraoperative blood loss were independent factors affecting the delayed discharge of patients undergoing daytime surgery (P<0.05). Conclusions There are many factors that affect day surgery patients’ discharge. It is suggested that more rigorously screen patients for day surgery, improve medical technology, strengthen out-of-hospital continued care, and optimize management procedures, so as to shorten the time of patients in hospital and provide more information for patients, and provide more efficient and convenient medical services for patients.

Citation： XU Lei, LIU Xiaonan, YU Deliang, WANG Quan, YU Peihua. Analysis of the factors influencing the same-day discharge of surgical patients based on the day pattern. West China Medical Journal, 2022, 37(2): 194-198. doi: 10.7507/1002-0179.202112123 Copy

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15.	沈彬, 翁習生, 廖刃, 等. 中國髖、膝關節置換術加速康復—圍術期疼痛與睡眠管理專家共識. 中華骨與關節外科雜志, 2016, 9(2): 91-97.
16.	中國康復技術轉化及發展促進會, 中國研究型醫院學會, 中國醫療保健國際交流促進會, 等. 中國骨科手術加速康復圍手術期疼痛管理指南. 中華骨與關節外科雜志, 2019, 12(12): 929-938.
17.	張顏. 心理干預對門診兒童患者及其家屬焦慮情緒的改善研究. 心理月刊, 2021, 16(5): 203-204.
18.	王舟強, 楊建南, 吳小琴. 探討臨床科室手術風險等級評價方法的應用. 中國病案, 2016, 17(9): 51-52, 94.

1. Nichol JM. The surgery of infancy. BMJ, 1909: 753-754.
2. 于麗華. 中國日間手術發展的歷程與展望. 中國醫院管理, 2016, 36(6): 16-18.
3. Castoro C. Ambulatory surgery: current status and future trends. East Centr Afric J Surg, 2006, 11(1): 67-68.
4. 稅章林, 石應康, 馬洪升, 等. 日間手術定義、范疇在我國適用的探討. 中國衛生事業管理, 2011, 28(增刊1): 63-65.
5. 吳佳男. 從“日間”到“日歸”: 精益手術更進一步. 中國醫院院長, 2021, 17(18): 48-49.
6. 劉洋, 李志超, 馬洪升. 四川大學華西醫院日間手術患者延遲出院原因分析. 中國循證醫學雜志, 2016, 16(4): 383-386.
7. 李艷華, 孫智輝, 王園園, 等. 老年日間手術患者延遲出院的原因及相關因素. 中國老年學雜志, 2017, 37(14): 3585-3587.
8. 劉玲, 戴燕, 許瑞華. 腹腔鏡膽囊切除日間手術后患者延遲出院護理對策. 護理學雜志, 2016, 31(24): 36-38.
9. 蔣麗莎, 宋應寒, 馬洪升. 中國日間手術未來發展愿景. 華西醫學, 2021, 36(2): 141-143.
10. 王煜, 劉洋, 馬洪升, 等. 乳腺微創旋切術日歸手術模式在日間手術中心的臨床應用. 華西醫學, 2021, 36(2): 178-182.
11. 魏世雄. 甲狀腺切除術后惡心嘔吐發生現狀及影響因素. 醫學理論與實踐, 2021, 34(18): 3185-3186.
12. 薛麗. 某三甲醫院外科手術患者平均住院日影響因素分析研究. 廣州: 南方醫科大學, 2013.
13. 羅雁平, 劉婕婷, 伍玉媚, 等. 影響日間手術首臺開臺時間的原因分析與對策. 護理實踐與研究, 2019, 16(15): 10-12.
14. 余德懷, 瞿暉. 關節鏡治療膝關節骨關節炎臨床療效分析. 中國社區醫師, 2021, 37(18): 71-72.
15. 沈彬, 翁習生, 廖刃, 等. 中國髖、膝關節置換術加速康復—圍術期疼痛與睡眠管理專家共識. 中華骨與關節外科雜志, 2016, 9(2): 91-97.
16. 中國康復技術轉化及發展促進會, 中國研究型醫院學會, 中國醫療保健國際交流促進會, 等. 中國骨科手術加速康復圍手術期疼痛管理指南. 中華骨與關節外科雜志, 2019, 12(12): 929-938.
17. 張顏. 心理干預對門診兒童患者及其家屬焦慮情緒的改善研究. 心理月刊, 2021, 16(5): 203-204.
18. 王舟強, 楊建南, 吳小琴. 探討臨床科室手術風險等級評價方法的應用. 中國病案, 2016, 17(9): 51-52, 94.

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Analysis of the factors influencing the same-day discharge of surgical patients based on the day pattern

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