January 1, 2004Archives of Surgery
Inpatient Hospital Admission and Death After Outpatient Surgery in Elderly Patients
Why the study?
Does the location of outpatient surgery affect the rates of inpatient hospital admission and death in elderly patients?
Population
Medicare beneficiaries older than 65 years undergoing 16 different surgical procedures
Comparison
Outpatient surgery at hospital-based outpatient… vs Outpatient surgery at freestanding ambulatory…
Design
Cohort
Follow-up
7 days
Authors
Discussion
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Member takes
Implication
Hospital outpatient surgery was associated with higher 7-day mortality and admissions in elderly patients; leaves open whether facility type or unmeasured confounding drives differences.
Structured PICO
Does the location of outpatient surgery affect the rates of inpatient hospital admission and death in elderly patients?
P
Population
Medicare beneficiaries older than 65 years undergoing 16 different surgical procedures (n=564,267 outpatient surgical procedures)
I
Intervention
Outpatient surgery at hospital-based outpatient centers or physicians' office facilities
C
Comparator
Outpatient surgery at freestanding ambulatory surgery centers (ASCs)
O
Outcome
Rate of death, emergency department risk, and admission to an inpatient hospital within 7 days of outpatient surgeryhard clinical
In elderly Medicare beneficiaries, outpatient surgery at hospital-based outpatient centers is associated with higher 7-day rates of mortality and inpatient admission compared to ambulatory surgery centers or physician offices.
Cite This Study
Lee A. Fleisher (2004) studied this question.