Evaluation of the pediatric post anesthesia discharge scoring system in an ambulatory surgery unit. Issue 6 (8th January 2015)

• Record Type: Journal Article
• Authors: Moncel, Jean Benoit; Nardi, Nicolas; Wodey, Eric; Pouvreau, Aline; Ecoffey, Claude; Lerman, Jerrold
• Is Part Of: Paediatric anaesthesia. Volume 25:Issue 6(2015)
• Page Start: 636
• Page End: 641
• Publication Date: 2015-01-08
• Subjects: Pediatric anesthesia -- Periodicals; 617.96798
• DOI: 10.1111/pan.12612
• Languages: English
• ISSNs: 1155-5645

Abstract

<abstract abstract-type="main" id="pan12612-abs-0001"> <title>Summary</title> <sec id="pan12612-sec-0001" sec-type="section"> <title>Introduction</title> <p>To optimize the care pathway for children scheduled for ambulatory surgery, a pediatric postanesthetic discharge scoring system (Ped‐PADSS) was developed from a score used in adults. The objective of this study was to evaluate this score prospectively on a cohort of children who had a day case surgical procedure.</p> </sec> <sec id="pan12612-sec-0002" sec-type="section"> <title>Materials and methods</title> <p>This was a single center prospective observational study. Inclusion criteria were predefined as follows: children aged 6 months–16 years at the time of the study, with a scheduled day surgery. Discharge was validated by Ped‐PADSS scores ≥9, obtained at one hour intervals, after the return from the operating room and with the agreement of the surgeon. The duration of postoperative hospitalization was compared with data collected before the implementation of the score using the Student's <italic>t</italic>‐test.</p> </sec> <sec id="pan12612-sec-0003" sec-type="section"> <title>Results</title> <p>From February to July 2012, 1060 children were included. One hour after the return from the operating room, 97.2% of children were dischargeable using Ped‐PADSS. Two hours after the return from the operating room, 99.8% of children were dischargeable. The median postoperative hospital stay (<italic>n</italic> = 1041) was reduced by 69 min compared to the median stay before using the output score (<italic>n</italic> = 150) (<italic>P</italic> < 0.01).</p> </sec> <sec id="pan12612-sec-0004" sec-type="section"> <title>Conclusion</title> <p>The Ped‐PADSS score allows for the majority of children to be discharged 1 h after their return from the postanesthesia care unit. Children who were discharged using the Ped‐PADSS score returned home in safe and optimal conditions.</p> </sec> </abstract>