Abstract Aims Finding out the percentage of patients discharged home on the day as planned, and those who stayed in hospital and the reasons for admitting them? Methods The details of all those patients were provided by IT department and theatre system management, and the information about patient discharge were obtained from e-searcher, discharge letters, written notes, operation notes Results Female : male ratio 2:1 (46:27) in admitted group, compared to 3:1 ratio in the total sample = 325 patients (248= F, 77 = M), 70% of admitted patients were between their 6th 54% in the total sample (130 of the 325 patients), Total number of laparoscopic cholecystectomies performed in ESHT in 2023 was 325, 251(77.5%) patients discharged on the same day, and 73 (22.5%) needed admission. Reasons for admission in order of frequency Difficult gall bladder constituting 38% of those admitted, 71% of those had a drain in-situ Next is pain 18%, then oxygen requirement 7%, then hypotension 5% 4% were because they were living alone. Then 2 for: drowsiness, vomiting, complex history, urine retention & bradycardia. 1 patient stayed because transport wasn't booked Conclusion The percentage of those discharged on the same day is 77% which is comparable to national average & RCSE figures. Avoidable admissions were those who live alone & the one whose transport was not booked. Figures from this audit shows that patients of male gender & older patients are likelier to be admitted following laparoscopic cholecystectomy Drain insertion is another indicator for admission to hospital.
Ali et al. (Fri,) studied this question.