Key result
Ped-PADSS linked to 1-hour shorter day surgery stay vs standard discharge criteria.
Why the study?
The safety and efficacy of the pediatric post-anesthesia discharge scoring system (Ped-PADSS) compared with existing clinical discharge criteria (CDC) in pediatric day surgery patients was unclear.
Does the pediatric post-anesthesia discharge scoring system (Ped-PADSS) improve discharge efficiency compared to clinical discharge criteria in pediatric day surgical patients?
Observational (n=721)
No
Does the pediatric post-anesthesia discharge scoring system (Ped-PADSS) improve discharge efficiency compared to clinical discharge criteria in pediatric day surgical patients?
The use of the Ped-PADSS significantly reduces the length of stay for pediatric day surgery patients compared to standard clinical discharge criteria.
Answers are grounded in this paper and cite their sources.
Ped-PADSS may aid standardized pediatric discharge decisions; leaves open superiority to CDC and needs prospective validation.
Objective: To evaluate the safety and efficacy of the pediatric post-anesthesia discharge scoring system (Ped-PADSS), and compared with the existing clinical discharge criteria (CDC) in the day surgery ward of our hospital. Methods: After the patient completed the operation and returned to the day surgery ward, the initial assessment was conducted by an independent observer using the Ped-PADSS and CDC. This process was repeated at 1 hour intervals until the patient achieved a Ped-PADSS score of 9 and met the CDC. Results: From July to December 2021, 721 pediatric patients. One hour after returning from PACU to the day surgery ward, 92.65% of pediatric patients were dischargeable based on the Ped-PADSS scores. Two hour after returning from PACU to the day surgery ward, 100.00% of pediatric patients were dischargeable. The median length of stay in the day surgery ward (n=720) was reduced by 1 hour after surgery compared with the median length of stay in the day surgery ward before the use of the output score (P<0.05); and there were 9 (1.25%) adverse events occurred in the interval between Ped-PADSS and CDC time.Conclusion: This prospective study reveals that the Ped-PADSS-based discharge decision greatly speeds the transit of pediatric patients through the day surgery ward, thus improving day surgery ward efficiency and medical resource utilization.
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Yang et al. (2022) conducted an observational in Pediatric day surgery (n=721). Pediatric post-anesthesia discharge scoring system (Ped-PADSS) vs. Clinical discharge criteria (CDC) was evaluated on Median length of stay in the day surgery ward (1 hour reduction, p=<0.05). The Ped-PADSS scoring system significantly reduced the median length of stay in the day surgery ward by 1 hour compared to standard clinical discharge criteria in pediatric patients.
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