title: [What were the obstacles to the development of outpatient cataract surgery in Toulouse University Hospital in 2013?].
abstract: BACKGROUND
  Cataract surgery is an ideal candidate for outpatient care. In 2013, in the Toulouse University Hospital, outpatient care rate for phacoemulsification was 75.8%. We conducted this study to identify the barriers that limit the development of outpatient cataract surgery in our establishment.
  
  
  METHODS
  A retrospective observational study was conducted. We included all patients who underwent phacoemulsification (Medical Act Code BFGA004) as a traditional inpatient in 2013. We excluded admissions for which the medical, anesthesia or nursing records, as well as scheduling sheets, were incomplete. Patients were classified according to the reason for inpatient hospitalization and the type of surgery: cataract as primary surgery or cataract as combined procedure.
  
  
  RESULTS
  Two hundred and ninety-eight stays were included with a mean age of 66.8 ± 16.8 years, and a male/female ratio of 0.76. The indication for inpatient hospitalization was a social, surgical or anesthetic reason in the following respective proportions: 41, 34 and 8% of cases. Failure of ambulatory care represented 7% of cases. Social isolation represented 89% of social reasons. In a combined gesture, the reason was surgical in 89% of cases.
  
  
  CONCLUSIONS
  Development of outpatient surgery requires the participation of all involved. Taking into account the social factors is an essential element for developing ambulatory surgery. Social isolation is a frequent situation requiring a societal response. With regard to surgical considerations, practice patterns must target outpatient combined procedures in particular.
authors.affiliation: Unité de rétine, hôpital Pierre-Paul-Riquet, hôpital Purpan, CHU de Toulouse, place du Docteur-Baylac, TSA 40031, 31059 Toulouse cedex 9, France; EA 4555, laboratoire GR2DE, centre de physiopathologie Toulouse-Purpan, CHU Purpan, BP 3028, 31024 Toulouse cedex 3, France.
authors.forename: C
authors.initials: C
authors.lastname: Suarez
authors.affiliation: Unité de rétine, hôpital Pierre-Paul-Riquet, hôpital Purpan, CHU de Toulouse, place du Docteur-Baylac, TSA 40031, 31059 Toulouse cedex 9, France.
authors.forename: C
authors.initials: C
authors.lastname: Tolou
authors.affiliation: Unité de rétine, hôpital Pierre-Paul-Riquet, hôpital Purpan, CHU de Toulouse, place du Docteur-Baylac, TSA 40031, 31059 Toulouse cedex 9, France; EA 4555, laboratoire GR2DE, centre de physiopathologie Toulouse-Purpan, CHU Purpan, BP 3028, 31024 Toulouse cedex 3, France.
authors.forename: M
authors.initials: M
authors.lastname: Cassagne
authors.affiliation: Unité de rétine, hôpital Pierre-Paul-Riquet, hôpital Purpan, CHU de Toulouse, place du Docteur-Baylac, TSA 40031, 31059 Toulouse cedex 9, France.
authors.forename: J
authors.initials: J
authors.lastname: Lajoie
authors.affiliation: Unité de rétine, hôpital Pierre-Paul-Riquet, hôpital Purpan, CHU de Toulouse, place du Docteur-Baylac, TSA 40031, 31059 Toulouse cedex 9, France.
authors.forename: L
authors.initials: L
authors.lastname: Mahieu
authors.affiliation: Unité de rétine, hôpital Pierre-Paul-Riquet, hôpital Purpan, CHU de Toulouse, place du Docteur-Baylac, TSA 40031, 31059 Toulouse cedex 9, France.
authors.forename: S
authors.initials: S
authors.lastname: Hamid
authors.affiliation: Unité de rétine, hôpital Pierre-Paul-Riquet, hôpital Purpan, CHU de Toulouse, place du Docteur-Baylac, TSA 40031, 31059 Toulouse cedex 9, France; EA 4555, laboratoire GR2DE, centre de physiopathologie Toulouse-Purpan, CHU Purpan, BP 3028, 31024 Toulouse cedex 3, France.
authors.forename: F
authors.initials: F
authors.lastname: Malecaze
authors.affiliation: Unité de rétine, hôpital Pierre-Paul-Riquet, hôpital Purpan, CHU de Toulouse, place du Docteur-Baylac, TSA 40031, 31059 Toulouse cedex 9, France; EA 4555, laboratoire GR2DE, centre de physiopathologie Toulouse-Purpan, CHU Purpan, BP 3028, 31024 Toulouse cedex 3, France. Electronic address: vincesoler@yahoo.fr.
authors.forename: V
authors.initials: V
authors.lastname: Soler
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures; D002387:Cataract Extraction; D002648:Child; D005260:Female; D005602:France; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D012189:Retrospective Studies; D055815:Young Adult
keywords: Cataract; Cataracte; Chirurgie ambulatoire; Isolement social; Outpatient surgery; Social isolation; Society; Société