An anaesthetic pre-operative assessment clinic reduces pre-operative inpatient stay in patients requiring major vascular surgery.

Hdl Handle:
http://hdl.handle.net/10147/207024
Title:
An anaesthetic pre-operative assessment clinic reduces pre-operative inpatient stay in patients requiring major vascular surgery.
Authors:
O'Connor, D B; Cotter, M; Treacy, O; Owens, T; McShane, A; Mehigan, D; Sheehan, S J; Barry, M C
Affiliation:
Department of Vascular Surgery, St. Vincent's University Hospital, Elm Park,, Dublin 4, Ireland. donaloconor@yahoo.com
Citation:
Ir J Med Sci. 2011 Sep;180(3):649-53. Epub 2011 Mar 24.
Journal:
Irish journal of medical science
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207024
DOI:
10.1007/s11845-011-0703-7
PubMed ID:
21431923
Abstract:
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:
eng
MeSH:
Anesthesiology/*organization & administration; Aortic 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
ISSN:
1863-4362 (Electronic); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorO'Connor, D Ben_GB
dc.contributor.authorCotter, Men_GB
dc.contributor.authorTreacy, Oen_GB
dc.contributor.authorOwens, Ten_GB
dc.contributor.authorMcShane, Aen_GB
dc.contributor.authorMehigan, Den_GB
dc.contributor.authorSheehan, S Jen_GB
dc.contributor.authorBarry, M Cen_GB
dc.date.accessioned2012-02-01T10:28:32Z-
dc.date.available2012-02-01T10:28:32Z-
dc.date.issued2012-02-01T10:28:32Z-
dc.identifier.citationIr J Med Sci. 2011 Sep;180(3):649-53. Epub 2011 Mar 24.en_GB
dc.identifier.issn1863-4362 (Electronic)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid21431923en_GB
dc.identifier.doi10.1007/s11845-011-0703-7en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207024-
dc.description.abstractBACKGROUND: 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.en_GB
dc.language.isoengen_GB
dc.subject.meshAnesthesiology/*organization & administrationen_GB
dc.subject.meshAortic Aneurysm/surgeryen_GB
dc.subject.meshEndarterectomy, Carotiden_GB
dc.subject.meshHospitals, Urban/organization & administrationen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIrelanden_GB
dc.subject.mesh*Length of Stayen_GB
dc.subject.meshOutpatient Clinics, Hospital/*organization & administrationen_GB
dc.subject.meshPreoperative Care/methodsen_GB
dc.subject.meshReferral and Consultation/organization & administrationen_GB
dc.subject.mesh*Vascular Surgical Proceduresen_GB
dc.titleAn anaesthetic pre-operative assessment clinic reduces pre-operative inpatient stay in patients requiring major vascular surgery.en_GB
dc.contributor.departmentDepartment of Vascular Surgery, St. Vincent's University Hospital, Elm Park,, Dublin 4, Ireland. donaloconor@yahoo.comen_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceLeinster-

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