Unplanned overnight admissions in day-case arthroscopic shoulder surgery

  • Sultan J
  • Marflow K
  • Roy B
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Abstract

The majority of arthroscopic shoulder procedures can be safely performed as day-case surgery. However, despite better pain control and preoperative assessment; some patients end with unplanned overnight admission. The aim of this study was to investigate the reasons behind unplanned admissions of patients undergoing day-case arthroscopic shoulder surgery.A retrospective review of 242 consecutive cases of arthroscopic shoulder surgery performed by the senior author over a period of two years (2007-2008) was carried out. Twenty cases were planned admissions and were therefore excluded. 222 cases were included, of which 40 (18%) were unplanned overnight admissions.Documented causes for overnight stay included abnormal post-operative observations, pain and wound ooze. The age of patients who stayed overnight was significantly higher (p=0.006). The difference in ASA grade between both groups was less marked but still statistically significant (p=0.031). More complex procedures, such as rotator cuff repair, were more likely to result in unplanned overnight admission (p

Author-supplied keywords

  • Day-case
  • Shoulder arthroscopy
  • Unplanned admission

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Authors

  • J. Sultan

  • K. Z. Marflow

  • B. Roy

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