• J Eval Clin Pract · Oct 2019

    Unplanned readmission after ocular trauma ambulatory surgery: A retrospective study of the Zhongshan Ophthalmic Center.

    • Yongxin Zheng, Juejing Chen, Liuxueying Zhong, Xiaofeng Lin, Yueyan Lin, Hao Fang, and Tingting Pang.
    • State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China.
    • J Eval Clin Pract. 2019 Oct 1; 25 (5): 822-826.

    PurposeAmbulatory surgery (AS) has become common in recent years. This study explored the causes of unplanned readmission after AS and the trends in the rate of unplanned readmission in the Ocular Trauma Department of Zhongshan Ophthalmic Center.MethodsWe collected information on patients who underwent AS from 1 January 2015 to 31 December 2017, summarized the causes of ambulatory hospitalization, and analysed the type of initial surgical procedure and the reasons for 31-day unplanned readmission. The Ocular Trauma Department started to perform AS in around mid-2015, and we collected information on patients who underwent ambulatory pars plana vitrectomy (APPV) from 1 January 2016 to 31 December 2017 to explore the predictive factors for the 31-day unplanned readmission of APPV patients.ResultsIn 2015, 2016, and 2017, a total of 3443 patients underwent AS, among whom the three most common causes of ambulatory hospitalization were eye wall and appendages injury, aphakia, and silicone oil-filled eye. Of the 3443 patients, 32 returned for 31-day unplanned readmission, a readmission rate of 0.93%. The most common surgery (34.4%, 11/32) that resulted in unplanned readmission was pars plana vitrectomy (PPV). The major reasons for unplanned readmission were retinal detachment (RD) (34.4%, 11/32) and high intraocular pressure (HIP) (18.8%, 6/32). There were 860 patients who underwent APPV from 1 January 2016 to 31 December 2017, among whom 10 needed 31-day unplanned readmission, and the readmission rate of APPV for ocular trauma in 2016 and 2017 was 1.16%. Length of procedure (P < 0.05) and use of silicone oil filling (P < 0.05) were significantly related to the risk of unplanned readmission for APPV surgery.ConclusionIt is generally safe to perform AS on patients with ocular trauma. However, longer operative times and silicone oil filling increase the risk of unplanned readmission for APPV surgery.© 2019 John Wiley & Sons, Ltd.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…