Journal article
Throughout the United States, pediatric patients undergoing ambulatory surgery enter the operating room and are discharged earlier in the day than are adults
Perioperative Care and Operating Room Management, Vol.16, p.100076
09/2019
DOI: 10.1016/j.pcorm.2019.100076
Abstract
Previously it was shown that greater minutes that pediatric surgical cases start later than scheduled were associated with more parents’ complaints regarding anesthesiologists’ care. Cases starting later in the day have less reliable start times. Thus, starting pediatric cases earlier in the surgical day would result in less tardiness of starts and fewer complaints. The objective of the current study was to evaluate start times and the corresponding durations of workdays nationally for outpatient surgery. The current cohort study used the United States’ National Hospital Ambulatory Medical Care Survey (NHAMCS), which includes outpatient surgery performed at hospitals and unaffiliated freestanding surgery centers. The data were limited to surgical cases with an anesthetic administered by an anesthesiologist and/or nurse anesthetist. Patients were considered pediatric if age ≤14 years. Pediatric cases started on average at 09:34, 57 (SE 11) minutes earlier than for adults (P < 0.0001). By 12:00, 77% of OR case time was complete, 12% (4%) greater than for adults (P = 0.0021). The average time for a pediatric patient to be discharged was 11:27, 82 min (17 min) earlier than for adults (P < 0.0001). These national data can be as representative of policies in place regarding the sequencing of pediatric patients’ OR start times when adult and pediatric patients are scheduled in the same ORs.
Details
- Title: Subtitle
- Throughout the United States, pediatric patients undergoing ambulatory surgery enter the operating room and are discharged earlier in the day than are adults
- Creators
- Franklin DexterRichard H EpsteinLuis I Rodriguez
- Resource Type
- Journal article
- Publication Details
- Perioperative Care and Operating Room Management, Vol.16, p.100076
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.pcorm.2019.100076
- ISSN
- 2405-6030
- eISSN
- 2405-6030
- Language
- English
- Date published
- 09/2019
- Academic Unit
- Anesthesia; Health Management and Policy
- Record Identifier
- 9983806375502771
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