Implementation of 23 Hour Surgery Model in a Tertiary Hospital

NCT04142203 | Completed

• 1 other identifier: KUH507A030
• Study Type: observational
• Target: 993
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Ambulatory Surgery; Laparoscopy; Shoulder Impingement Syndrome; Ovarian Cysts; Cholecystolithiasis; Appendicitis; Gynecologic Surgical Procedures; Ambulatory Surgical Procedures; Neurosurgery

Keywords

23 h surgery; postoperative recovery; outcome; patient satisfaction; postoperative pain; analgesic; oxycodone; multimodal pain management; extended day surgery

Outcome Measures

Primary Outcomes (3)

• 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

• Pain intensity postoperatively

  Pain intensity after surgery for the first 24 hours

  Postoperative day 1

• Analgesic consumption postoperatively

  Amount of different analgesics consumed during the 24 h period postoperatively

  Postoperative day 1

Secondary Outcomes (8)

• 30 days readmission rate

  one month after surgery

• 30 days reoperation rate

  one month after surgery

• Number of adverse events during 14 postoperative days

  14 days after surgery

• Contact to health care during 14 postoperative days

  14 days afte surgery

• Patient satisfaction to care in 23 hours process

  14 days after surgery

Other Outcomes (1)

• Adverse events after 23 h surgery

  two weeks after surgery

Study Arms (1)

23 h surgery

Adult patients who were treated in 23 h surgical unit

Other: 23 h surgery

Interventions

23 h surgery OTHER

Patients were treated in 23 surgical unit

23 h surgery

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Adults undergoing 23 h surgery

You may qualify if:

• adult
• gave informed consent

You may not qualify if:

• no informed consent

Sponsors & Collaborators

• Kuopio University Hospital: lead

Study Sites (1)

Kuopio University Hospital

Kuopio, Northern Savonia, 70029, Finland

Location

Related Publications (3)

• Isokaanta S, Ruohoaho UM, Anttila M, Kokki H, Sintonen H, Toroi P, Kokki M. Resilience, pain, and health-related quality of life in gynecological patients undergoing surgery for benign and malignant conditions: a 12-month follow-up study. BMC Womens Health. 2022 Aug 16;22(1):345. doi: 10.1186/s12905-022-01923-7.

  PMID: 35974326 DERIVED

• Ruohoaho UM, Aaltomaa S, Kokki H, Anttila M, Kokki M. Patient functional recovery after a 23-h surgery - a prospective, follow-up study. Langenbecks Arch Surg. 2022 Aug;407(5):2133-2142. doi: 10.1007/s00423-022-02502-y. Epub 2022 Apr 6.

  PMID: 35384504 DERIVED

• Ruohoaho UM, Toroi P, Hirvonen J, Aaltomaa S, Kokki H, Kokki M. Implementation of a 23-h surgery model in a tertiary care hospital: a safe and feasible model with high patient satisfaction. BJS Open. 2020 Jun;4(3):391-399. doi: 10.1002/bjs5.50267. Epub 2020 Feb 28.

  PMID: 32109004 DERIVED

MeSH Terms

Conditions

Shoulder Impingement Syndrome; Ovarian Cysts; Cholecystolithiasis; Appendicitis; Patient Satisfaction; Pain, Postoperative

Interventions

Surgical Procedures, Operative

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Shoulder Injuries; Wounds and Injuries; Cysts; Neoplasms; Ovarian Diseases; Adnexal Diseases; Genital Diseases, Female; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Genital Diseases; Gonadal Disorders; Endocrine System Diseases; Cholelithiasis; Biliary Tract Diseases; Digestive System Diseases; Gallbladder Diseases; Intraabdominal Infections; Infections; Gastroenteritis; Gastrointestinal Diseases; Cecal Diseases; Intestinal Diseases; Treatment Adherence and Compliance; Health Behavior; Behavior; Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms

Study Officials

• Ulla-Maija Ruohoaho, MD

  Kuopio University Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 17, 2019
• First Posted: October 29, 2019
• Study Start: May 16, 2017
• Primary Completion: May 30, 2021
• Study Completion: May 30, 2021
• Last Updated: April 12, 2022

Record last verified: 2022-02

Data Sharing

• IPD Sharing: Will not share

Locations

FI (1)