Daycase trauma list: a safe and cost-effective service delivery.

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Authors
Okoth, Fred H
Issue Date
2019-09-01
Journal
Type
Article
Peer-Reviewed Publication
Keywords
Adolescent
Adult
Adverse effects
Aged
Ambulatory surgical procedures
Complications
Cost-benefit analysis
Cost-effectiveness
Costs
Daycase surgery
Female
Injuries
Length of stay
Limitations
Male
Middle aged
Musculoskeletal system
Pain
Pain measurement
Patient experience
Patient readmission
Patient safety
Patient satisfaction
Peer-reviewed article
Postoperative pain
Orthopaedic procedures
Orthopaedic surgery
Retrospective study
Trauma
Trauma surgery
United Kingdom
Wounds
Young adult
Journal Title
Annals of the Royal College of Surgeons of England
Volume
101
Issue
7
Begin page
519
End page
521
Abstract
Introduction: Daycase trauma surgery is an evolving and a novel approach. The aim of our study was to report our experience of daycase trauma surgery with a focus on safety, patient experience, complications and limitations. Material and methods: Patients scheduled and operated on a daycase trauma list from January 2013 to December 2016 were included in the study. Age, sex, case mix, readmissions within 48 hours, complications, patient satisfaction, reasons for overnight stay and cost effectiveness were evaluated. Results: A total of 229 procedures were carried out. The mean age of the patients was 44.3 years (range 16-85 years) . There were 128 men and 101 women, 178 upper-limb and 51 lower-limb cases. Only 2.6% of the patients had stayed overnight for pain control, physiotherapy and neurological observations; 94.5% of the patients were satisfied. The mean visual analogue scale score for satisfaction was 8.7. There were no admissions within 48 hours of discharge and one complication with failure of ankle fixation. The estimated cost saving was £65,562. Conclusion: We conclude that a daycase trauma service is safe, cost effective, and yields high patient satisfaction. It reduces the burden on hospital beds and a wide range of upper- and lower-limb cases can be performed as daycase trauma surgery with adequate planning and teamwork.
Citation
Athar MS, Fazal MA, Ashwood N, Arealis G, Buchanan D, Okoth FH. Daycase trauma list: a safe and cost-effective service delivery. Ann R Coll Surg Engl. 2019 Sep;101(7):519-521. doi: 10.1308/rcsann.2019.0058. Epub 2019 Jun 3. PMID: 31155898; PMCID: PMC6667966.
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