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Unexpected hospital admissions from a remote outpatient
surgicentre. Introduction: Remote outpatient surgicenters are growing in number and provide diagnostic and therapeutic procedures to millions of patients each year. Our interest with this study was to document and quantify the health concerns requiring hospital admissions. Method: A review of 158,408 patient procedures performed over 10 years was carried out to evaluate the patients who were admitted and the reasons for such admissions. The patients were reviewed by specialty, by surgeon, by diagnosis, time of year, and by etiology of the problem. Findings: One hundred twenty eight (128) patients were admitted. This represented one admission per 1,238 (0.08%) procedures to 6 area hospitals. 84 patients were discharged by day 2. Cardiac (23), respiratory (17), bleeding (18), GI (21), post cholecystectomy (10 of 600 + cases) were the leading causes for hospitalizations. Conclusion: 128 patients were admitted to the hospital after 158, 408 procedures from The Center for Surgery. No patient is maintained in the surgicenter over night and the majority of patients go home in less than 2 hours from our center. Outpatient remote non-over night surgicenter procedures may be done easily, safely, and efficiently. |
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