title: Day surgery management model in china: practical experience and initial evaluation.
abstract: OBJECTIVE
  Day surgery has been increasingly performed in some major teaching hospitals in China. We aimed to evaluate the current day surgery management model (DSMM) and compare the clinical outcome and health service utility of day surgery with inpatient surgery.
  
  
  METHODS
  We reviewed 14482 day surgery cases under the DSMM and 2591 inpatient surgery cases under the non-DSMM between September 2006 and September 2012 in Shanghai East Hospital. The endpoints of interest were hospitalization days, incision infection rate and hospital cost.
  
  
  RESULTS
  Among 14482 day surgery cases, only 52 (0.4%) were converted to hospitalization. The average hospitalization time of the patients was 2-10 hours. None of them had incision infection. Hospital cost of DSMM was less than 50% of non-DSMM (inpatient surgery). The most common postoperative complications were nausea, vomiting and dizziness. Nearly half of patients had mild to moderate pain after surgery.
  
  
  CONCLUSIONS
  DSMM optimizes the utilization of healthcare resources by reducing hospital admission, hospital cost and incision infection in China.
authors.affiliation: Department of General Surgery, Shanghai East Hospital Affiliated to Tongji University 150 Jimo Road, Shanghai 200120, China.
authors.forename: Huiyong
authors.initials: H
authors.lastname: Jiang
authors.affiliation: Department of General Surgery, Shanghai East Hospital Affiliated to Tongji University 150 Jimo Road, Shanghai 200120, China.
authors.forename: Junyi
authors.initials: J
authors.lastname: Han
authors.affiliation: Department of General Surgery, Shanghai East Hospital Affiliated to Tongji University 150 Jimo Road, Shanghai 200120, China.
authors.forename: Aiguo
authors.initials: A
authors.lastname: Lu
authors.affiliation: Department of General Surgery, Shanghai East Hospital Affiliated to Tongji University 150 Jimo Road, Shanghai 200120, China.
authors.forename: Xiufeng
authors.initials: X
authors.lastname: Liu
keywords: Day surgery management model; evaluation; health resource; hospital cost; incision infection