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
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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.