| Factors influencing stay in the postanesthesia care unit: a prospective analysis. | |
| | |
MedLine Citation:
|
PMID: 9805699 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
STUDY OBJECTIVE: To identify indicators of prolonged length of stay (LOS) in the postanesthesia care unit (PACU) and to test the following hypotheses: (1) that patient age, pain medication administration at the time of PACU admission, length of surgery, and cardiovascular, pulmonary, and pain responses postoperatively predict prolonged PACU LOS and (2) that cardiovascular and pulmonary symptoms preoperatively predict cardiovascular and pulmonary symptoms postoperatively. DESIGN: Prospective, observational analysis. SETTING: PACU of a university teaching hospital. PATIENTS: 1,067 patients scheduled for surgery with general anesthesia between February and September 1996, 18 years of age or older. MEASUREMENT AND MAIN RESULTS: 11.2% of the variation in prolonged PACU LOS can be predicted by age, pain medication at the time of PACU admission, and postoperative cardiovascular, pulmonary, and pain symptoms. A significant number of patients who did not report a prior history experienced postoperative cardiovascular and pulmonary symptoms. CONCLUSION: Patient history and postoperative symptoms predict only a small percentage of prolonged PACU stays. Organizational factors may be a more important predictor of prolonged PACU stay. Additionally, assessment of cardiovascular and pulmonary history needs refinement to improve prediction of patient responses postoperatively. |
| | |
Authors:
|
J A Seago; S Weitz; S Walczak |
Related Documents
:
|
22159249 - Intrathoracic gossypiboma causing intractable cough. 17165119 - Closed three-port anatomic lobectomy with systematic nodal dissection for lung cancer. 21658969 - Complications in oral and maxillofacial surgery: management of hemostasis and bleeding ... 21886469 - Operative surgery for enterocutaneous fistula. 9337289 - Resection of non-small cell lung cancer: how much and by what route. 17619499 - Solitary pulmonary nodule. 2005139 - The autologous stump plasty. treatment for bony overgrowth in juvenile amputees. 8871249 - The potential role of intraoperative ultrasonography in the surgical treatment of hilar... 11016349 - Division of venous collateral after glenn shunt by minimally invasive surgery. |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Journal of clinical anesthesia Volume: 10 ISSN: 0952-8180 ISO Abbreviation: J Clin Anesth Publication Date: 1998 Nov |
Date Detail:
|
Created Date: 1999-02-11 Completed Date: 1999-02-11 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 8812166 Medline TA: J Clin Anesth Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 579-87 Citation Subset: IM |
Affiliation:
|
Department of Community Health Systems, University of California, San Francisco 94143-0608, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Age Factors Anesthesia Recovery Period* Cardiovascular Diseases / physiopathology Female Humans Length of Stay* Lung Diseases / physiopathology Male Middle Aged Pain, Postoperative / drug therapy Postoperative Care* Postoperative Complications Prospective Studies Recovery Room* Regression Analysis Surgical Procedures, Operative |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Benchmarking the perioperative process: III. Effects of regional anesthesia clinical pathway techniq...
Next Document: Temperature and duration of cardiopulmonary bypass influence transfusion requirements.