Is day case surgery in urology associated with high admission rates?
The nature of the procedures and patients in urological day surgery may lead to high admission rates. A retrospective audit was performed over 8 years (1988 to 1996) to determine admission rates in a urological day surgical unit and examine reasons for and methods of decreasing admissions. The overall admission rate was 9.3%. Higher rates were associated with cystoscopic procedures, with 46% of admissions after bladder tumour cystosurveillance and a further 18% after urethroscopic surgery for urethral strictures. There was a surgical indication for admission in 72% of cases, with an anaesthetic indication in 17%. The study demonstrates that admission rates accompanying urological day surgery are higher than the 3% proposed by The Royal College of Surgeons of England. Achieving a rate of 3% may require restrictive patient selection that will deprive some patients the benefits associated with urological day surgical care.
Crew
J P
JP
Department of Urology, Churchill Hospital, Oxford.
Turner
K J
KJ
Millar
J
J
Cranston
D W
DW
D000368:Aged; D000556:Ambulatory Surgical Procedures; D004724:Endoscopy; D004739:England; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D012307:Risk Factors; D013520:Urologic Surgical Procedures / Q000379:methods