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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1. Nichol JM. The surgery of infancy. BMJ, 1909: 753-754.
2. 于丽华. 中国日间手术发展的历程与展望. 中国医院管理, 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. 税章林, 石应康, 马洪升, 等. 日间手术定义、范畴在我国适用的探讨. 中国卫生事业管理, 2011, 28(增刊1): 63-65.
5. 吴佳男. 从“日间”到“日归”: 精益手术更进一步. 中国医院院长, 2021, 17(18): 48-49.
6. 刘洋, 李志超, 马洪升. 四川大学华西医院日间手术患者延迟出院原因分析. 中国循证医学杂志, 2016, 16(4): 383-386.
7. 李艳华, 孙智辉, 王园园, 等. 老年日间手术患者延迟出院的原因及相关因素. 中国老年学杂志, 2017, 37(14): 3585-3587.
8. 刘玲, 戴燕, 许瑞华. 腹腔镜胆囊切除日间手术后患者延迟出院护理对策. 护理学杂志, 2016, 31(24): 36-38.
9. 蒋丽莎, 宋应寒, 马洪升. 中国日间手术未来发展愿景. 华西医学, 2021, 36(2): 141-143.
10. 王煜, 刘洋, 马洪升, 等. 乳腺微创旋切术日归手术模式在日间手术中心的临床应用. 华西医学, 2021, 36(2): 178-182.
11. 魏世雄. 甲状腺切除术后恶心呕吐发生现状及影响因素. 医学理论与实践, 2021, 34(18): 3185-3186.
12. 薛丽. 某三甲医院外科手术患者平均住院日影响因素分析研究. 广州: 南方医科大学, 2013.
13. 罗雁平, 刘婕婷, 伍玉媚, 等. 影响日间手术首台开台时间的原因分析与对策. 护理实践与研究, 2019, 16(15): 10-12.
14. 余德怀, 瞿晖. 关节镜治疗膝关节骨关节炎临床疗效分析. 中国社区医师, 2021, 37(18): 71-72.
15. 沈彬, 翁习生, 廖刃, 等. 中国髋、膝关节置换术加速康复—围术期疼痛与睡眠管理专家共识. 中华骨与关节外科杂志, 2016, 9(2): 91-97.
16. 中国康复技术转化及发展促进会, 中国研究型医院学会, 中国医疗保健国际交流促进会, 等. 中国骨科手术加速康复围手术期疼痛管理指南. 中华骨与关节外科杂志, 2019, 12(12): 929-938.
17. 张颜. 心理干预对门诊儿童患者及其家属焦虑情绪的改善研究. 心理月刊, 2021, 16(5): 203-204.
18. 王舟强, 杨建南, 吴小琴. 探讨临床科室手术风险等级评价方法的应用. 中国病案, 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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