An anaesthetic pre-operative assessment clinic reduces pre-operative inpatient stay in patients requiring major vascular surgery.
Affiliation
Department of Vascular Surgery, St. Vincent's University Hospital, Elm Park,, Dublin 4, Ireland. donaloconor@yahoo.comIssue Date
2012-02-01T10:28:32ZMeSH
Anesthesiology/*organization & administrationAortic Aneurysm/surgery
Endarterectomy, Carotid
Hospitals, Urban/organization & administration
Humans
Ireland
*Length of Stay
Outpatient Clinics, Hospital/*organization & administration
Preoperative Care/methods
Referral and Consultation/organization & administration
*Vascular Surgical Procedures
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Show full item recordCitation
Ir J Med Sci. 2011 Sep;180(3):649-53. Epub 2011 Mar 24.Journal
Irish journal of medical scienceDOI
10.1007/s11845-011-0703-7PubMed ID
21431923Abstract
BACKGROUND: Patients undergoing major vascular surgery (MVS) require extensive anaesthetic assessment. This can require extended pre-operative stays. AIMS: We investigated whether a newly established anaesthetic pre-operative assessment clinic (PAC) would reduce the pre-operative inpatient stay, avoid unnecessary investigations and facilitate day before surgery (DBS) admissions for patients undergoing MVS. PATIENT AND METHODS: One year following and preceding the establishment of the PAC the records of patients undergoing open or endovascular aortic aneurysm repair, carotid endarterectomy and infra-inguinal bypass were reviewed to measure pre-operative length of stay (LoS). RESULTS: Pre-operative LoS was significantly reduced in the study period (1.85 vs. 4.2 days, respectively, P < 0.0001). Only 12 out of 61 patients in 2007 were admitted on the DBS and this increased to 33 out of 63 patients (P = 0.0002). No procedure was cancelled for medical reasons. CONCLUSION: The PAC has facilitated accurate outpatient anaesthetic assessment for patients requiring MVS. The pre-operative in-patient stay has been significantly reduced.Language
engISSN
1863-4362 (Electronic)0021-1265 (Linking)
ae974a485f413a2113503eed53cd6c53
10.1007/s11845-011-0703-7
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