Implementation of 23 Hour Surgery Model in a Tertiary Hospital

Appendicitis Clinical Trial

— Herko  

Official title:

23 Hour Surgical Model in a Tertiary Hospital: Evaluation From Patient and Organisational Perspective

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04142203
• Other study ID #: KUH507A030
• Status: Completed
• Start date: May 16, 2017
• Est. completion date: May 30, 2021

Study information

• Verified date: February 2022
• Source: Kuopio University Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Extended day surgery or 23 h surgery (23-hour surgery) is a surgical model where patients arrive to the hospital from home at the day of surgery, are operated and recover in a 23 h surgery unit. 23H surgery units are usually situated near postoperative recovery unit. THe 23 H surgical model was implemented in Kuopio University Hospital 2015 and between May 2017-May 2018 patients were recruited in the present prospective follow up cohort study. Patients were informed and they gave their informed consent. The patients were contacted two weeks after the study and details of their recovery were asked.

Description:

Extended day surgery or 23 h surgery is a surgical model where patients arrive to the hospital from home at the day of surgery, are operated and recover in a 23 h surgery unit. 23H surgery units are usually situated near postoperative recovery unit. THe 23 H surgical model was implemented in Kuopio University Hospital 2015 and between May 2017-May 2018 patients were recruited in the present prospective follow up cohort study. Patients were informed and they gave their informed consent. The patients were contacted two weeks after the study and details of their recovery were asked. Satisfaction to the care in 23 h unit and surgical process, were asked. Amount of readmissions, reoperations, contacts to health care professionals and adverse events are recorded.

Detailed information about intensity of pain, analgesic need and use in the hospital was recorded and pain interference in daily life for short term recovery period was asked.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 993
• Est. completion date: May 30, 2021
• Est. primary completion date: May 30, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 100 Years

Eligibility

Inclusion Criteria:

• adult

• gave informed consent

Exclusion Criteria:

• no informed consent

Related Conditions & MeSH terms

• Ambulatory Surgery
• Ambulatory Surgical Procedures
• Appendicitis
• Cholecystolithiasis
• Cholelithiasis
• Gallstones
• Gynecologic Surgical Procedures
• Laparoscopy
• Neurosurgery
• Ovarian Cysts
• Shoulder Impingement Syndrome

Intervention

Other:
• 23 h surgery
Patients were treated in 23 surgical unit

Locations

Country	Name	City	State
Finland	Kuopio University Hospital	Kuopio	Northern Savo

Sponsors (1)

Lead Sponsor	Collaborator
Kuopio University Hospital

Country where clinical trial is conducted

Finland, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Adverse events after 23 h surgery	Adverse events after 23 h surgical procedure	two weeks after surgery
Primary	Amount of patients discharged from the hospital until 10 am at the first postoperative day	The amount of patients discharged from hospital by the first postoperative day 10 am	Postoperative day 1
Primary	Pain intensity postoperatively	Pain intensity after surgery for the first 24 hours	Postoperative day 1
Primary	Analgesic consumption postoperatively	Amount of different analgesics consumed during the 24 h period postoperatively	Postoperative day 1
Secondary	30 days readmission rate	How many patients are admitted to hospital within 30 postoperative days	one month after surgery
Secondary	30 days reoperation rate	How many patients are reoperated within 30 postoperative days	one month after surgery
Secondary	Number of adverse events during 14 postoperative days	Amount of adverse events after surgery within 14 postoperative days	14 days after surgery
Secondary	Contact to health care during 14 postoperative days	Number of contacts to health care within 14 postoperative days	14 days afte surgery
Secondary	Patient satisfaction to care in 23 hours process	Scale 0-7 (0= not satisfied, 7 =very satisfied), the higher score the better result	14 days after surgery
Secondary	Proportion of patients having pain postoperatively	Amount of patients who had pain still two weeks after surgery	Two weeks postoperatively
Secondary	Postoperative pain interference after 23 h surgery	Patient assessed pain interference in daily activities up to 2 weeks after surgery	two weeks postoperatively
Secondary	Analgesic use after 23 h surgery	amount of patients using analgesics two weeks after surgery	Two weeks postoperatively