Document Detail

Age as a predictive factor for in-patient admission following day-case shoulder arthroscopic sub-acromial decompression - a district general hospital audit.
MedLine Citation:
PMID:  18201504     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Admission following day-case surgery can be problematic for both the patient and the health service. The purpose of this study was to identify any factors predictive of admission following arthroscopic sub-acromial decompression (ASAD) of the shoulder planned as day-case procedures.
PATIENTS AND METHODS: A postal questionnaire provided data for 27 patients undergoing ASAD as a day-case procedure between June 2002 and June 2004.
RESULTS: Eighteen (66.7%) questionnaires were returned. Of respondents, 38.9% (mean age, 58 years) felt the procedure required in-patient admission due to postoperative pain. These patients had an older mean age than those (61.1%) content with a day-case procedure (mean age, 49 years; P = 0.04). Of patients 55 years and older, 67% felt that the procedure should have an in-patient admission due to postoperative pain compared to 11% of patients under the age of 55 years (P = 0.04).
CONCLUSIONS: Patient age may be useful as a predictor of the likelihood of postoperative admission for pain control following day-case shoulder surgery and should be taken into account when planning day case lists.
N P M Jain; L Ogonda; N P Trimmings
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of the Royal College of Surgeons of England     Volume:  90     ISSN:  1478-7083     ISO Abbreviation:  Ann R Coll Surg Engl     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-01-18     Completed Date:  2008-03-11     Revised Date:  2013-06-06    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  England    
Other Details:
Languages:  eng     Pagination:  62-4     Citation Subset:  IM    
Department of Orthopaedics, Derriford Hospital, Plymouth, Devon, UK.
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MeSH Terms
Age Factors
Ambulatory Surgical Procedures / statistics & numerical data*
Arthroscopy / statistics & numerical data*
Decompression, Surgical / statistics & numerical data*
Hospitals, District / statistics & numerical data
Hospitals, General / statistics & numerical data
Middle Aged
Pain Measurement
Pain, Postoperative / etiology*
Patient Admission / statistics & numerical data*
Patient Satisfaction*
Postoperative Care / statistics & numerical data

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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