Key result
Gynecological day-care hospital treatment demonstrates safety with a ~0.05% inpatient transfer rate.
Why the study?
The study was conducted to analyze the six-year experience of the gynecological day-care hospital based on the Botkin Hospital.
Observational (n=9,164)
No
A gynecological day-care hospital model within a multidisciplinary clinic is successful and can accommodate older patients and those with higher anesthetic risk.
Supports day-care gynecology expansion in resource-limited settings; leaves open multicenter outcome and safety data.
Background. The first day-care hospital (DCH) in the Russian Federation with 30 beds was established in the departments of general surgery, urology, and gynecology of the Botkin Hospital in 2016 in Moscow. Aim. To analyze the six-year experience of the gynecological DCH based on the Botkin Hospital. Materials and methods. The six-year experience (20162021) of the gynecological DCH based on the Botkin Hospital was analyzed. Results. The number of patients treated in the DCH increased progressively from 2016 to 2019. Due to the gain in the experience of DCH, patients with a broader spectrum of diseases can receive care in DCH settings, the number of hospitalized patients with a higher anesthetic risk has increased, and the proportion of patients over 65 years of age has also increased. Conclusion. Analysis of the activities of the DCH based on the Botkin Hospital showed that the pilot project can be considered successful due to good clinical and economic indicators. This activity format can be widely implemented, and it is optimal to establish such hospitals in multidisciplinary clinics.
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Подзолкова et al. (2023) conducted an observational in Gynecological conditions requiring minor surgery (n=9,164). Day-care hospital (DCH) treatment vs. 24-hour in-patient care was evaluated on Transfer rate to 24-hour in-patient unit. Treatment in a gynecological day-care hospital was safe and effective, with a 0% mortality rate and only a 0.054% rate of transfer to a 24-hour inpatient unit among 9,164 patients.
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