23 Hour Surgical Model in a Tertiary Hospital: Evaluation From Patient and Organisational Perspective
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 993
- 试验地点
- 1
- 主要终点
- Analgesic consumption postoperatively
研究概览
简要总结
Extended day surgery or 23 h surgery (23-hour surgery) is a surgical model where patients arrive to the hospital from home at the day of surgery, are operated and recover in a 23 h surgery unit. 23H surgery units are usually situated near postoperative recovery unit. THe 23 H surgical model was implemented in Kuopio University Hospital 2015 and between May 2017-May 2018 patients were recruited in the present prospective follow up cohort study. Patients were informed and they gave their informed consent. The patients were contacted two weeks after the study and details of their recovery were asked.
详细描述
Extended day surgery or 23 h surgery is a surgical model where patients arrive to the hospital from home at the day of surgery, are operated and recover in a 23 h surgery unit. 23H surgery units are usually situated near postoperative recovery unit. THe 23 H surgical model was implemented in Kuopio University Hospital 2015 and between May 2017-May 2018 patients were recruited in the present prospective follow up cohort study. Patients were informed and they gave their informed consent. The patients were contacted two weeks after the study and details of their recovery were asked. Satisfaction to the care in 23 h unit and surgical process, were asked. Amount of readmissions, reoperations, contacts to health care professionals and adverse events are recorded.
Detailed information about intensity of pain, analgesic need and use in the hospital was recorded and pain interference in daily life for short term recovery period was asked.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •gave informed consent
排除标准
- •no informed consent
结局指标
主要结局
Analgesic consumption postoperatively
时间窗: Postoperative day 1
Amount of different analgesics consumed during the 24 h period postoperatively
Amount of patients discharged from the hospital until 10 am at the first postoperative day
时间窗: Postoperative day 1
The amount of patients discharged from hospital by the first postoperative day 10 am
Pain intensity postoperatively
时间窗: Postoperative day 1
Pain intensity after surgery for the first 24 hours
次要结局
- Number of adverse events during 14 postoperative days(14 days after surgery)
- Patient satisfaction to care in 23 hours process(14 days after surgery)
- Proportion of patients having pain postoperatively(Two weeks postoperatively)
- 30 days reoperation rate(one month after surgery)
- Analgesic use after 23 h surgery(Two weeks postoperatively)
- 30 days readmission rate(one month after surgery)
- Contact to health care during 14 postoperative days(14 days afte surgery)
- Postoperative pain interference after 23 h surgery(two weeks postoperatively)