An anaesthetic pre-operative assessment clinic reduces pre-operative inpatient stay in patients requiring major vascular surgery.
AffiliationDepartment of Vascular Surgery, St. Vincent's University Hospital, Elm Park,, Dublin 4, Ireland. firstname.lastname@example.org
MeSHAnesthesiology/*organization & administration
Hospitals, Urban/organization & administration
*Length of Stay
Outpatient Clinics, Hospital/*organization & administration
Referral and Consultation/organization & administration
*Vascular Surgical Procedures
MetadataShow full item record
CitationIr J Med Sci. 2011 Sep;180(3):649-53. Epub 2011 Mar 24.
JournalIrish journal of medical science
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.
- The impact of a consultant anaesthetist led pre-operative assessment clinic on patients undergoing major vascular surgery.
- Authors: Cantlay KL, Baker S, Parry A, Danjoux G
- Issue date: 2006 Mar
- The anaesthetic pre-admission clinic is effective in minimising surgical cancellation rates.
- Authors: Emanuel A, Macpherseon R
- Issue date: 2013 Jan
- Measure what matters: institutional outcome data are superior to the use of surrogate markers to define "center of excellence" for abdominal aortic aneurysm repair.
- Authors: Goshima KR, Mills JL Sr, Awari K, Pike SL, Hughes JD
- Issue date: 2008 May-Jun
- Fast track open aortic surgery: reduced post operative stay with a goal directed pathway.
- Authors: Murphy MA, Richards T, Atkinson C, Perkins J, Hands LJ
- Issue date: 2007 Sep
- A diabetic foot service established by a department of vascular surgery: an observational study.
- Authors: Williams DT, Majeed MU, Shingler G, Akbar MJ, Adamson DG, Whitaker CJ
- Issue date: 2012 Jul