Adverse events and readmissions after day-case urological surgery

• Main Author: Paez,Alvaro
• Publication Date: 2007
• Other Authors: Redondo,Enrique, Linares,Ana, Rios,Emilio, Vallejo,Jorge, Sanchez-Castilla,Margarita
• Format: Article
• Language: eng
• Source: International Braz J Urol (Online)
• Download full: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382007000300005
• topic: ambulatory surgical procedures; anesthesia; treatment outcome

OBJECTIVE: The literature lacks of studies on postoperative outcomes after urological ambulatory surgery. Our study aims to identify parameters associated with postoperative complications within 30 days after ambulatory urological surgery. MATERIALS AND METHODS: Adjusted and unadjusted comparisons between clinical features and postoperative outcome (complicated and uncomplicated). RESULTS: Postoperative course was complicated in 5% of the patients. Discharge schedule was not completed in 1.1% while unplanned visits resulted in admission in 0.5%. Multivariate analyses could only confirm the independent effect of type of anesthesia and diagnosis-related group (DRG) relative weight. CONCLUSIONS: Ambulatory urological surgery can be safe in terms of postoperative complications. In the present study surgery under general anesthesia, or a higher DRG relative weight procedure, increased the risk of complications compared to surgery under regional or local anesthesia or lower DRG relative weight operations. Patients scheduled for general anesthesia or undergoing complex urological procedures should be warned about an increased risk of postoperative incidents and/or readmission.