March 1, 2007Archives of Surgery
A Novel Index of Elevated Risk of Inpatient Hospital Admission Immediately Following Outpatient Surgery
Why the study?
Does an outpatient surgery admission index predict the risk of immediate hospital admission in patients undergoing outpatient surgery?
Population
783,558 patients undergoing operations in hospital-based and freestanding ambulatory surgery centers in New…
Design
Cohort
Follow-up
Immediate (post-surgery)
Authors
Discussion
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Member takes
Implication
May aid preoperative risk stratification; leaves open whether index-guided decisions improve outcomes in prospective trials.
Structured PICO
Does an outpatient surgery admission index predict the risk of immediate hospital admission in patients undergoing outpatient surgery?
P
Population
783,558 patients undergoing operations in hospital-based and freestanding ambulatory surgery centers in New York during 1997
I
Intervention
Outpatient surgery admission index (scoring system based on age ≥65, operating time >120 mins, cardiac diagnoses, peripheral vascular disease, cerebrovascular disease, malignancy, HIV, and anesthesia type)
O
Outcome
Immediate hospital admission (discharged directly for short-term hospitalization)hard clinical
A novel outpatient surgery admission index based on simple clinical and surgical factors strongly predicts the risk of immediate hospital admission following outpatient surgery.
Cite This Study
Lee A. Fleisher (2007) studied this question.