A methodology to estimate the potential to move inpatient to one day surgery
2006

Estimating the Potential for One Day Surgery

Sample size: 176345 publication Evidence: moderate

Author Information

Author(s): Gilliard Nicolas, Eggli Yves, Halfon Patricia

Primary Institution: Centre hospitalier universitaire vaudois

Hypothesis

Can an algorithmic method using routinely available hospital data identify surgical hospitalizations that could have been performed as one day treatment?

Conclusion

The proposed approach allows monitoring of inpatient candidates for one day surgery and can aid in infrastructure planning and resource utilization.

Supporting Evidence

  • The algorithm identified 861 procedures that could be performed as day care.
  • In Switzerland, 19.4% of elective hospitalizations were found eligible for day care.
  • The study showed large variations in the proportion of candidates for one day surgery among hospitals.

Takeaway

This study looks at how many surgeries could be done in just one day instead of keeping patients in the hospital overnight, which could save time and resources.

Methodology

An algorithm was applied to a random sample of inpatient stays to identify those eligible for one day surgery based on specific criteria.

Potential Biases

Exclusion of hospitals with poor data quality could introduce bias.

Limitations

The study only considered hospitalizations with a length of stay greater than 24 hours and did not account for patient residence or emergency admissions.

Participant Demographics

The study included surgical hospitalizations from Swiss and US hospitals, with a focus on elective admissions.

Digital Object Identifier (DOI)

10.1186/1472-6963-6-78

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