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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Unplanned overnight admissions in day-case arthroscopic shoulder surgery
1Department of Orthopaedics, Trafford Healthcare NHS Trust, Trafford General Hospital, Moorside Road, Davyhulme, Manchester M41 5SL, United Kingdom. jsultan@hotmail.co.uk
Summary
Unplanned overnight admissions after day-case arthroscopic shoulder surgery are often linked to patient age, American Society of Anesthesiologists (ASA) grade, and procedure complexity. Identifying these risk factors can improve patient management.
Area of Science:
- Orthopedic Surgery
- Anesthesiology
- Health Services Research
Background:
- Day-case arthroscopic shoulder surgery is common, but unplanned overnight admissions occur.
- Improved pain management and preoperative assessments aim to minimize these admissions.
Purpose of the Study:
- To identify the reasons for unplanned overnight admissions in patients undergoing day-case arthroscopic shoulder surgery.
Main Methods:
- Retrospective review of 222 consecutive day-case arthroscopic shoulder surgeries.
- Analysis of patient demographics, procedure details, and reasons for admission.
Main Results:
- 18% (40 of 222) of patients had unplanned overnight admissions.
- Higher patient age, higher ASA grade, and complex procedures (e.g., rotator cuff repair) were significant risk factors.
- Abnormal post-operative observations, pain, and wound ooze were documented causes.
Conclusions:
- Patient age, ASA grade, and procedure complexity are key predictors of unplanned overnight admission.
- Anesthetist experience and interscalene nerve block use showed some associations but were not primary drivers.
