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Related Experiment Videos

Acceptability of day care surgery.

A Senapati1, A E Young

  • 1Department of Surgery, St Thomas' Hospital, London.

Journal of the Royal Society of Medicine
|December 1, 1989
PubMed
Summary

Many patients suitable for day case surgery (same-day surgery) face practical barriers in urban settings. Social and home environment factors significantly impact feasibility, challenging the widespread adoption of this surgical approach.

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Area of Science:

  • Surgical Innovation
  • Healthcare Management
  • Patient Outcomes

Background:

  • Day case surgery is increasingly recommended for efficiency.
  • Its practical application in urban environments remains under-evaluated.
  • Patient suitability extends beyond medical fitness.

Purpose of the Study:

  • To assess the feasibility of day case surgery for unselected patients in an urban setting.
  • To identify social and environmental factors influencing suitability.
  • To compare patient preferences for day case versus inpatient care.

Main Methods:

  • Prospective study of 100 consecutive patients undergoing day case-suitable procedures.
  • Data collection included patient demographics, medical fitness, and social details.
  • Postal questionnaires assessed patient preferences before and after surgery.

Main Results:

  • 96% of patients were medically fit for day case surgery.
  • 58% were deemed unsuitable due to social/environmental factors (e.g., living alone, distance, home access).
  • Pre-operative preference for day care (51%) significantly dropped post-discharge (14%).

Conclusions:

  • Over half of patients deemed suitable for day case surgery are practically unsuitable in this urban setting.
  • Social and environmental factors are critical determinants of day case surgery feasibility.
  • Patient preferences may shift post-surgery, highlighting the need for comprehensive assessment.

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