Key result
A same day admission approach for pediatric elective surgeries saved 1,672 preoperative bed days over a 4-year period.
Why the study?
Increasing demand for bed availability and the need for medical, logistical, psychological, and fiscal improvements motivated evaluating a same day admission approach to reduce preoperative bed occupancy demand in pediatric inpatient units.
Does a same day admission approach reduce preoperative bed occupancy demand in pediatric patients undergoing elective surgery?
Observational (n=4,409)
Does a same day admission approach reduce preoperative bed occupancy demand in pediatric patients undergoing elective surgery?
Implementing a same day admission approach for pediatric elective surgeries effectively reduces hospital bed demand and average length of stay.
Answers are grounded in this paper and cite their sources.
Same-day admission may ease preoperative bed demand in pediatric elective surgery; hypothesis-generating and needs RCTs before practice change.
Background: A same day admission approach was established for pediatric patients undergoing elective surgery owing to an increase in demand for bed availability and the need for medical, logistical, psychological, and fiscal improvements. This study aimed to assess the effectiveness of the same day admission approach for reducing demand for preoperative bed occupancy in pediatric inpatient units. Method: Data on elective surgery patients considered for same day admission were prospectively collected in an Excel spreadsheet. Results: Same day admission patients numbered 269 (25.87%; n = 1040), 461 (41.7%; n = 1104), 382 (38.67%; n = 998), and 560 (44.20%; n = 1267) in 2018, 2019, 2020, and 2021, respectively. Over the 4-year period between 2018 and 2021, pediatric orthopedic surgeries accounted for the majority of same day admissions (29.72%; n = 497), followed by ear, nose, and throat (21.30%; n = 356), general (16.99%; n = 284), plastic (14.53%; n = 243); urology (9.87%; n = 165); optometry and ophthalmology (3.77%; n = 63); neuro (2.51%; n = 42), and dental (1.31%; n = 22) surgeries. The total number of days of saved preoperative beds over the 4-year period was 1672 days (an average of 418 hospital days per year). Conclusions: This study showed that same day admission approach should be implemented in pediatrics institutions to reduce hospital bed demand. The implementation of this initiative is widely variable between specialties due to interlinked medical, operational, and logistical factors. Level of Evidence: III. HIGHLIGHTS Same day admission is a model to reduce the average length of hospital stay for surgical patients and to reduce costs. The study is confirming the feasibility of applying the same day admissions’ project in the pediatric population. This study compares the applicability of the same day admission's project across pediatrics’ surgical subspecialties. This study proves the possibility of applying same day admission's project in the local region.
No takes yet. Share an insight, caveat, or question.
Almutairi et al. (2022) conducted an observational in Pediatric elective surgery (n=4,409). Same day admission was evaluated on Days of saved preoperative beds. A same day admission approach for pediatric elective surgeries saved 1,672 preoperative bed days over a 4-year period.
Synapse has enriched 10 related papers. Consider them for comparative context: