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Adult patients who were treated in 23 h surgical unit

Patients were treated in 23 surgical unit

23 h surgery

Ulla-Maija Ruohoaho, MD

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.

Implementation of 23 Hour Surgery Model in a Tertiary Hospital

23 Hour Surgical Model in a Tertiary Hospital: Evaluation From Patient and Organisational Perspective

Adverse events after 23 h surgical procedure

The amount of patients discharged from hospital by the first postoperative day 10 am

Pain intensity after surgery for the first 24 hours

Amount of different analgesics consumed during the 24 h period postoperatively

How many patients are admitted to hospital within 30 postoperative days

How many patients are reoperated within 30 postoperative days

Amount of adverse events after surgery within 14 postoperative days

Number of contacts to health care within 14 postoperative days

Scale 0-7 (0= not satisfied, 7 =very satisfied), the higher score the better result

Amount of patients who had pain still two weeks after surgery

Patient assessed pain interference in daily activities up to 2 weeks after surgery

amount of patients using analgesics two weeks after surgery

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Implementation of 23 Hour Surgery Model in a Tertiary Hospital	NCT04142203	Ambulatory Surg... Laparoscopy Shoulder Imping... Ovarian Cysts Cholecystolithi... Appendicitis Gynecologic Sur... Ambulatory Surg... Neurosurgery	23 h surgery	18 Years - 100 Years	Kuopio University Hospital
Implementation of 23 Hour Surgery Model in a Tertiary Hospital	NCT04142203	Ambulatory Surg... Laparoscopy Shoulder Imping... Ovarian Cysts Cholecystolithi... Appendicitis Gynecologic Sur... Ambulatory Surg... Neurosurgery	23 h surgery	18 Years - 100 Years	Kuopio University Hospital

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