Outpatient Orthognathic Surgery: "AMBOST" a One Year Prospective Study
试验速览
- 阶段
- 不适用
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Rate of outpatient-to-inpatient shifts after an orthognathic procedure
研究概览
简要总结
The aim of this prospective and observational study is to describe the conditions of orthognathic procedures performed in Toulouse Teaching Hospital over a one-year period, the outpatient-to-inpatient shifts rate and the whole outpatient rate among the whole orthognathic procedures done. The investigator also wants to identify factors associated with an outpatient-to-inpatient shift, and factors associated with the duration of hospitalization.
详细描述
In Toulouse Teaching Hospital, the annual number of orthognathic surgery outpatient stays was multiplied by 6 since 2010, indicating a new trend of theses procedures. Outpatient stays presents several advantages for the patient and for the health system: decrease of the psychological stress, higher satisfaction, minimization of the personal and domestic activity interruption, less exposure to nosocomial infections, decrease of global costs, increase of the population rate which can be treated. However, very few data report the experience of outpatient orthognathic surgery in France and the factors associated with its success or failure.
The choice of ambulatory versus complete hospitalization is decided during preoperative consultation by the surgeon in agreement with the patient. The classic surgical and anesthetic protocol of orthognathic surgery is applied whatever the type of hospitalization. The data are collected from the patient medical record (electronic patient record, orthognathic follow-up form, anesthetic sheet) and from a patient quality of life questionnaire. There is no modification of the usual follow-up, patients are seen at D-8 which is the end-study visit.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •all patients treated by an orthognathic surgery in Toulouse Teaching Hospital, having given an oral agreement
排除标准
- •patient refusal
- •inability to understand the information relative to the procedure, the care and the surgical suites
- •American Society of Anesthesiology (ASA) Score>=3
- •Severe eating disorders
- •Pregnant woman
结局指标
主要结局
Rate of outpatient-to-inpatient shifts after an orthognathic procedure
时间窗: 1 day
An outpatient procedure is considered to have been converted into a traditional hospitalization if there is no discharge the same evening (D0) and therefore the patient has been transferred to a traditional hospitalization unit. The procedure is considered to have been performed on an outpatient basis if there was an outpatient discharge the same evening (J0)
次要结局
- Score of the first 24 hours surgical outcome questionnaire(1 day)
- Causes justifying the shift for patients expected outpatients(1 day)
- Outpatient rate(1 day)
- Factors associated with a conversion in inpatient hospitalization among the patients planned in ambulatory(1 day)
- Factors associated with the duration of hospitalization among the hospitalized patients on an inpatient basis(1 day)