title: Evaluation of the pediatric post anesthesia discharge scoring system in an ambulatory surgery unit.
abstract: BACKGROUND
  To optimize the care pathway for children scheduled for ambulatory surgery, a pediatric postanesthetic discharge scoring system (Ped-PADSS) was developed from a score used in adults. The objective of this study was to evaluate this score prospectively on a cohort of children who had a day case surgical procedure.
  
  
  METHODS
  This was a single center prospective observational study. Inclusion criteria were predefined as follows: children aged 6 months-16 years at the time of the study, with a scheduled day surgery. Discharge was validated by Ped-PADSS scores ≥9, obtained at one hour intervals, after the return from the operating room and with the agreement of the surgeon. The duration of postoperative hospitalization was compared with data collected before the implementation of the score using the Student's t-test.
  
  
  RESULTS
  From February to July 2012, 1060 children were included. One hour after the return from the operating room, 97.2% of children were dischargeable using Ped-PADSS. Two hours after the return from the operating room, 99.8% of children were dischargeable. The median postoperative hospital stay (n = 1041) was reduced by 69 min compared to the median stay before using the output score (n = 150) (P < 0.01).
  
  
  CONCLUSIONS
  The Ped-PADSS score allows for the majority of children to be discharged 1 h after their return from the postanesthesia care unit. Children who were discharged using the Ped-PADSS score returned home in safe and optimal conditions.
authors.affiliation: Service d'Anesthésie Réanimation Chirurgicale 2, CHU Hôpital Sud, Rennes, France.
authors.forename: Jean Benoit
authors.initials: JB
authors.lastname: Moncel
authors.forename: Nicolas
authors.initials: N
authors.lastname: Nardi
authors.forename: Eric
authors.initials: E
authors.lastname: Wodey
authors.forename: Aline
authors.initials: A
authors.lastname: Pouvreau
authors.forename: Claude
authors.initials: C
authors.lastname: Ecoffey
mesh_terms: D000293:Adolescent; D000556:Ambulatory Surgical Procedures / Q000706:statistics & numerical data*; D000762:Anesthesia Recovery Period; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007223:Infant; D007902:Length of Stay / Q000706:statistics & numerical data*; D008297:Male; D010351:Patient Discharge / Q000706:statistics & numerical data*; D010372:Pediatrics / Q000706:statistics & numerical data; D011446:Prospective Studies; D015203:Reproducibility of Results
keywords: children; day surgery; discharge criteria; pediatric anesthesia; pediatric postanesthesia scoring system