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Daycase trauma list: a safe and cost-effective service delivery
M S Athar1, M A Fazal2, N Ashwood1
1Department of Trauma and Orthopaedics, Burton Hospital NHS Foundation Trust, Burton Upon Trent, UK.
Annals of the Royal College of Surgeons of England
|June 4, 2019
Summary
Daycase trauma surgery is a safe and effective approach, offering high patient satisfaction and significant cost savings. This method reduces hospital bed burden for various upper and lower limb procedures with proper planning.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
- Ambulatory Surgery
Background:
- Daycase trauma surgery represents an evolving and novel approach in patient care.
- Assessing the safety, patient experience, complications, and limitations of this surgical model is crucial.
Purpose of the Study:
- To evaluate the safety and efficacy of daycase trauma surgery.
- To analyze patient satisfaction, complication rates, and cost-effectiveness.
Main Methods:
- A retrospective study included patients undergoing daycase trauma surgery from January 2013 to December 2016.
- Data collected included patient demographics, procedure types, readmissions, complications, satisfaction, and cost savings.
Main Results:
- 229 procedures were performed, with a mean patient age of 44.3 years.
- High patient satisfaction (94.5%) was reported, with a mean visual analogue scale score of 8.7.
- Minimal overnight stays (2.6%) and one complication were noted, with an estimated cost saving of £65,562.
Conclusions:
- Daycase trauma surgery is a safe, cost-effective service that enhances patient satisfaction.
- This model effectively reduces the demand on hospital beds.
- Careful planning and teamwork enable a wide range of upper and lower limb trauma cases to be managed effectively as day cases.
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