Can we improve our day-case rate in functional endoscopic sinus surgery?

Area of Science:

• Otolaryngology
• Surgical Outcomes
• Health Services Research

Background:

• Day-case functional endoscopic sinus surgery (FESS) offers enhanced patient satisfaction and cost reduction.
• Identifying reasons for overnight admission is crucial for optimizing same-day discharge protocols.

Purpose of the Study:

• To determine the reasons for unplanned overnight admissions after elective functional endoscopic sinus surgery.
• To identify opportunities for improving the day-case rate in FESS.

Main Methods:

• Retrospective observational study over a one-year period.
• Inclusion of consecutive patients undergoing elective functional endoscopic sinus surgery.

Main Results:

• Out of 172 patients, 152 (88%) were planned for day-case surgery.
• The same-day discharge rate was 80.2% (138 patients).
• Primary reasons for unplanned overnight admission included bleeding (n=8) and urinary retention (n=3).

Conclusions:

• Improving the day-case rate for FESS is achievable.
• Minimizing post-operative bleeding is a key strategy to enhance same-day discharge.
• Optimizing FESS day-case rates can improve patient satisfaction and service efficiency.