Document Detail


Utility of history and physical updates for ambulatory otolaryngic surgery.
MedLine Citation:
PMID:  17975507     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES/HYPOTHESIS: Preoperative assessment is intended to identify anesthetic risk and a patient's appropriateness to undergo a proposed surgery. The timing of these assessments varies among institutions. In our ambulatory surgery center, preoperative reassessments were initially performed within 30 days of surgery (group A). Recently, this changed to require reassessments within 7 days of surgery (group B). Now, the policy mandates a preoperative reassessment within 24 hours (group C). We evaluate whether there are differences in surgical cancellations based on these new reassessment intervals. STUDY DESIGN: Retrospective operative log and chart review. METHODS: We identified 1,108 cases representative of group A. The rate of surgical cancellations for this group was compared with that of the 3,705 cases in group B and the 1,060 cases in group C. Differences were evaluated with a chi test. RESULTS: Total cancellation rates for groups A, B, and C were 3.0%, 3.3%, and 3.9%, respectively (P = .51). Cancellations secondary to a history and physical examination findings during these preoperative reassessment periods were 0.81%, 0.38%, and 0.66% for groups A, B, and C, respectively (P = .15). CONCLUSIONS: Cancellation rates for patients undergoing ambulatory otolaryngic surgery based on preoperative reassessment intervals of 30 days, 7 days, and 24 hours were similar.
Authors:
Scott L Lee; Salvatore Taliercio; Ashar Ata; Jessica Clayton; Steven M Parnes
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Laryngoscope     Volume:  118     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2007-12-31     Completed Date:  2008-02-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  United States    
Other Details:
Languages:  eng     Pagination:  165-8     Citation Subset:  IM    
Affiliation:
Division of Otolaryngology-Head and Neck Surgery, Albany Medical Center, 35 Hackett Boulevard, Albany, NY 12208, U.S.A. leesl@gmail.amc.edu
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MeSH Terms
Descriptor/Qualifier:
Ambulatory Surgical Procedures* / statistics & numerical data
Appointments and Schedules*
Humans
Medical History Taking*
Organizational Policy
Otorhinolaryngologic Surgical Procedures* / statistics & numerical data
Patient Dropouts / statistics & numerical data
Physical Examination*
Retrospective Studies
Surgicenters / organization & administration
Time Factors

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


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