title: Is outpatient surgery safe for the higher risk patient?
abstract: The trend toward outpatient surgery led to this study to determine the safety of elective outpatient laparoscopic surgery for the higher risk patient. One hundred consecutive higher risk patients from all patients scheduled for elective outpatient laparoscopic surgery were studied prospectively in a 256-bed community hospital. Seventeen percent of patients required admission. In each instance the need was readily evident in the perioperative observation period. Eighty-three percent of patients were stable and were successfully treated as outpatients. No patient who remained stable decompensated later, and none required readmission to treat complications resulting from outpatient status. The 2% readmission rate (for unrelated reasons) was comparable to the 2% readmission rate for low-risk patients. It was concluded that routine outpatient laparoscopic surgery is safe for elective higher risk patients. Problems requiring admission are readily evident during the period of observation and no patient who remains stable decompensates later.
authors.affiliation: Department of Surgery, The Salvation Army Scarborough Grace Hospital, Toronto, Ontario, Canada. minaise@pathcom.com
authors.forename: A J
authors.initials: AJ
authors.lastname: Voitk
authors.forename: S
authors.initials: S
authors.lastname: Ignatius
authors.forename: B D
authors.initials: BD
authors.lastname: Schouten
authors.forename: R A
authors.initials: RA
authors.lastname: Mustard
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures; D017558:Elective Surgical Procedures; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010343:Patient Admission; D010359:Patient Readmission; D019990:Perioperative Care; D011446:Prospective Studies; D012189:Retrospective Studies; D012307:Risk Factors; D012449:Safety; D016896:Treatment Outcome