Clinical Application and Analysis of Pediatric Day Surgery_West China Medical Journal

Authors：

 LIZhi-chao ¹ , SHANWei ² , DAIYan ¹ ,  MAHong-sheng ¹ , SHUIZhang-lin ³

1. Department of Day Surgery Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Pediatric Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Outpatient Department;West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

MAHong-sheng, Email: mahongsheng63@163.com

Keywords：

Pediatric surgery; Day surgery; Safe; Medical quality

DOI：

10.7507/1002-0179.20150084

Video：

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Objective To assess the efficacy and safety of pediatric day surgery (PDS) program. Methods We retrospectively analyzed 148 pediatric surgeries between June 2012 and June 2013, including 31 for cryptorchidism, 53 for concealed penis, and 64 for hernia. According to the operation mode, these children were divided into PDS group and in-patient group. Analysis of the postoperative complications and hospital stay, and hospitalization expenses was carried out. Results There was no statistical differences on success rate of operation, re-admission rate, postoperative fever, and postoperation nausea and vomiting between the two groups (P>0.05). But compared with the in-patient group, hospitalization expenses, medical cost, therapeutic treatment fee and hospital stay were significantly lower or shorter in the PDS group (P<0.05). Conclusion PDS is a safe and cost-effective program that reduces the average hospitalization days, reduces the per capita hospitalization cost, increases the turnover of beds, and benefits the child and the family.

Citation： LIZhi-chao, SHANWei, DAIYan, MAHong-sheng, SHUIZhang-lin. Clinical Application and Analysis of Pediatric Day Surgery. West China Medical Journal, 2015, 30(2): 279-282. doi: 10.7507/1002-0179.20150084 Copy

1.	Roberts L. Day surgery-national and international:from the past to the future[J]. Ambul Surg, 2006, 12(3):143-145.
2.	Burns LA, Ferber MS. Ambulatory surgery in the United States:development and prospects[J]. J Ambul Care Manage, 1981, 4(3):1-13.
3.	Saint-Maurice C, Kong-Ky BH, Hamza J, et al. Pediatric surgery and anesthesia in a day hospital[J]. Cah Anesthesiol, 1992, 41(4):407-411.
4.	Letts M, Davidson D, Splinter W, et al. Analysis of the efficacy of pediatric day surgery[J]. Can J Surg, 2001, 44(3):193-198.
5.	Farooq M, Tan KR, Crowe S. Fasting times in caregivers of children presenting for ambulatory surgery[J]. Pediatric Anesthesia, 2008, 18(9):820-822.
6.	馬洪升, 戴燕. 日間手術治療模式國內外發展簡述[J]. 中國醫院管理, 2012, 32(1):47-48.
7.	Bryson GL, Chung F, Finegan BA, et al. Patient selection in ambulatory anesthesia-an evidence-based review:part[J]. Can J Anesth, 2004, 51(8):768-781.
8.	江志偉, 李寧, 黎介壽. 快速康復外科的概念及臨床意義[J]. 中國實用外科雜志, 2007, 27(2):131-133.
9.	計虹. 臨床路徑醫療管理模式的應用研究[J]. 中國醫院管理, 2010, 30(11):26-27.
10.	李茜, 劉思, 馬洪升. 收益管理理論在日間手術運營模式中的運用[J]. 華西醫學, 2013(8):1293-1295.
11.	稅章林, 石應康, 馬洪升, 等. 日間手術診療模式的實踐與本土化的思考[J]. 中國醫院, 2012, 16(4):38-40.
12.	沈火劍, 李可為, 季福, 等. 日間腹腔鏡膽囊切除術的臨床應用分析[J]. 肝膽胰外科雜志, 2011, 23(1):43-45.
13.	劉思, 吳洲鵬, 羅艷麗. 開展大隱靜脈曲張剝脫術日間病房運營模式的可行性探討[J]. 中國普外基礎與臨床雜志, 2012, 19(10):1110-1113.
14.	王保起, 王國棟, 馮振同, 等. 局部麻醉腹股溝疝無張力修補日間手術63例臨床分析[J]. 中國全科醫學, 2009, 12(13):1219-1220.
15.	于布為. 積極開展小兒麻醉的臨床研究[J]. 上海醫學, 2012, 35(2):93-94.
16.	劉洋, 于牧川, 劉博, 等. 日間手術不影響腹腔鏡膽囊切除術患者的生活質量:中國經驗[J]. 腹腔鏡外科雜志, 2012, 17(8):567-572.
17.	顧亞明, 季寶軼, 張連豐. 臨床路徑管理在小兒外科病種中的應用評價[J]. 東南大學學報:醫學版, 2012, 31(1):119-121.
18.	Reismann M, Von Kampen M, Laupichler B, et al. Fast-track surgery in infants and children[J]. J Pediatr Surg, 2007, 42(1):234-238.
19.	屠偉峰, 郄文斌. 麻醉科在快速康復外科中的作用和地位[J]. 實用醫學雜志, 2012, 28(5):691-693.
20.	戴燕, 彭小華. 快速康復理念在日間腹腔鏡膽囊切除術中的應用[J]. 華西醫學, 2011, 26(8):1234-1235.

1. Roberts L. Day surgery-national and international:from the past to the future[J]. Ambul Surg, 2006, 12(3):143-145.
2. Burns LA, Ferber MS. Ambulatory surgery in the United States:development and prospects[J]. J Ambul Care Manage, 1981, 4(3):1-13.
3. Saint-Maurice C, Kong-Ky BH, Hamza J, et al. Pediatric surgery and anesthesia in a day hospital[J]. Cah Anesthesiol, 1992, 41(4):407-411.
4. Letts M, Davidson D, Splinter W, et al. Analysis of the efficacy of pediatric day surgery[J]. Can J Surg, 2001, 44(3):193-198.
5. Farooq M, Tan KR, Crowe S. Fasting times in caregivers of children presenting for ambulatory surgery[J]. Pediatric Anesthesia, 2008, 18(9):820-822.
6. 馬洪升, 戴燕. 日間手術治療模式國內外發展簡述[J]. 中國醫院管理, 2012, 32(1):47-48.
7. Bryson GL, Chung F, Finegan BA, et al. Patient selection in ambulatory anesthesia-an evidence-based review:part[J]. Can J Anesth, 2004, 51(8):768-781.
8. 江志偉, 李寧, 黎介壽. 快速康復外科的概念及臨床意義[J]. 中國實用外科雜志, 2007, 27(2):131-133.
9. 計虹. 臨床路徑醫療管理模式的應用研究[J]. 中國醫院管理, 2010, 30(11):26-27.
10. 李茜, 劉思, 馬洪升. 收益管理理論在日間手術運營模式中的運用[J]. 華西醫學, 2013(8):1293-1295.
11. 稅章林, 石應康, 馬洪升, 等. 日間手術診療模式的實踐與本土化的思考[J]. 中國醫院, 2012, 16(4):38-40.
12. 沈火劍, 李可為, 季福, 等. 日間腹腔鏡膽囊切除術的臨床應用分析[J]. 肝膽胰外科雜志, 2011, 23(1):43-45.
13. 劉思, 吳洲鵬, 羅艷麗. 開展大隱靜脈曲張剝脫術日間病房運營模式的可行性探討[J]. 中國普外基礎與臨床雜志, 2012, 19(10):1110-1113.
14. 王保起, 王國棟, 馮振同, 等. 局部麻醉腹股溝疝無張力修補日間手術63例臨床分析[J]. 中國全科醫學, 2009, 12(13):1219-1220.
15. 于布為. 積極開展小兒麻醉的臨床研究[J]. 上海醫學, 2012, 35(2):93-94.
16. 劉洋, 于牧川, 劉博, 等. 日間手術不影響腹腔鏡膽囊切除術患者的生活質量:中國經驗[J]. 腹腔鏡外科雜志, 2012, 17(8):567-572.
17. 顧亞明, 季寶軼, 張連豐. 臨床路徑管理在小兒外科病種中的應用評價[J]. 東南大學學報:醫學版, 2012, 31(1):119-121.
18. Reismann M, Von Kampen M, Laupichler B, et al. Fast-track surgery in infants and children[J]. J Pediatr Surg, 2007, 42(1):234-238.
19. 屠偉峰, 郄文斌. 麻醉科在快速康復外科中的作用和地位[J]. 實用醫學雜志, 2012, 28(5):691-693.
20. 戴燕, 彭小華. 快速康復理念在日間腹腔鏡膽囊切除術中的應用[J]. 華西醫學, 2011, 26(8):1234-1235.

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