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Extended day surgery or 23 h surgery (23-hour surgery) is a surgical model where patients arrive to the hospital from home at the day of surgery, are operated and recover in a 23 h surgery unit. 23H surgery units are usually situated near postoperative recovery unit. THe 23 H surgical model was implemented in Kuopio University Hospital 2015 and between May 2017-May 2018 patients were recruited in the present prospective follow up cohort study. Patients were informed and they gave their informed consent. The patients were contacted two weeks after the study and details of their recovery were asked.
Extended day surgery or 23 h surgery is a surgical model where patients arrive to the hospital from home at the day of surgery, are operated and recover in a 23 h surgery unit. 23H surgery units are usually situated near postoperative recovery unit. THe 23 H surgical model was implemented in Kuopio University Hospital 2015 and between May 2017-May 2018 patients were recruited in the present prospective follow up cohort study. Patients were informed and they gave their informed consent. The patients were contacted two weeks after the study and details of their recovery were asked. Satisfaction to the care in 23 h unit and surgical process, were asked. Amount of readmissions, reoperations, contacts to health care professionals and adverse events are recorded.
Detailed information about intensity of pain, analgesic need and use in the hospital was recorded and pain interference in daily life for short term recovery period was asked.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 23 h surgery | Adult patients who were treated in 23 h surgical unit |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 23 h surgery | Other | Patients were treated in 23 surgical unit |
|
| Measure | Description | Time Frame |
|---|---|---|
| Amount of patients discharged from the hospital until 10 am at the first postoperative day | The amount of patients discharged from hospital by the first postoperative day 10 am | Postoperative day 1 |
| Pain intensity postoperatively | Pain intensity after surgery for the first 24 hours | Postoperative day 1 |
| Analgesic consumption postoperatively | Amount of different analgesics consumed during the 24 h period postoperatively | Postoperative day 1 |
| Measure | Description | Time Frame |
|---|---|---|
| 30 days readmission rate | How many patients are admitted to hospital within 30 postoperative days | one month after surgery |
| 30 days reoperation rate | How many patients are reoperated within 30 postoperative days |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events after 23 h surgery | Adverse events after 23 h surgical procedure | two weeks after surgery |
Inclusion Criteria:
Exclusion Criteria:
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Adults undergoing 23 h surgery
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| Name | Affiliation | Role |
|---|---|---|
| Ulla-Maija Ruohoaho, MD | Kuopio University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kuopio University Hospital | Kuopio | Northern Savonia | 70029 | Finland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35974326 | Derived | Isokaanta S, Ruohoaho UM, Anttila M, Kokki H, Sintonen H, Toroi P, Kokki M. Resilience, pain, and health-related quality of life in gynecological patients undergoing surgery for benign and malignant conditions: a 12-month follow-up study. BMC Womens Health. 2022 Aug 16;22(1):345. doi: 10.1186/s12905-022-01923-7. | |
| 35384504 | Derived |
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| ID | Term |
|---|---|
| D019534 | Shoulder Impingement Syndrome |
| D010048 | Ovarian Cysts |
| D041761 | Cholecystolithiasis |
| D001064 | Appendicitis |
| D017060 | Patient Satisfaction |
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D000070599 | Shoulder Injuries |
| D014947 | Wounds and Injuries |
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| ID | Term |
|---|---|
| D013514 | Surgical Procedures, Operative |
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| one month after surgery |
| Number of adverse events during 14 postoperative days | Amount of adverse events after surgery within 14 postoperative days | 14 days after surgery |
| Contact to health care during 14 postoperative days | Number of contacts to health care within 14 postoperative days | 14 days afte surgery |
| Patient satisfaction to care in 23 hours process | Scale 0-7 (0= not satisfied, 7 =very satisfied), the higher score the better result | 14 days after surgery |
| Proportion of patients having pain postoperatively | Amount of patients who had pain still two weeks after surgery | Two weeks postoperatively |
| Postoperative pain interference after 23 h surgery | Patient assessed pain interference in daily activities up to 2 weeks after surgery | two weeks postoperatively |
| Analgesic use after 23 h surgery | amount of patients using analgesics two weeks after surgery | Two weeks postoperatively |
| Ruohoaho UM, Aaltomaa S, Kokki H, Anttila M, Kokki M. Patient functional recovery after a 23-h surgery - a prospective, follow-up study. Langenbecks Arch Surg. 2022 Aug;407(5):2133-2142. doi: 10.1007/s00423-022-02502-y. Epub 2022 Apr 6. |
| 32109004 | Derived | Ruohoaho UM, Toroi P, Hirvonen J, Aaltomaa S, Kokki H, Kokki M. Implementation of a 23-h surgery model in a tertiary care hospital: a safe and feasible model with high patient satisfaction. BJS Open. 2020 Jun;4(3):391-399. doi: 10.1002/bjs5.50267. Epub 2020 Feb 28. |
| D003560 |
| Cysts |
| D009369 | Neoplasms |
| D010049 | Ovarian Diseases |
| D000291 | Adnexal Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000091662 | Genital Diseases |
| D006058 | Gonadal Disorders |
| D004700 | Endocrine System Diseases |
| D002769 | Cholelithiasis |
| D001660 | Biliary Tract Diseases |
| D004066 | Digestive System Diseases |
| D005705 | Gallbladder Diseases |
| D059413 | Intraabdominal Infections |
| D007239 | Infections |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D002429 | Cecal Diseases |
| D007410 | Intestinal Diseases |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |