Can we improve our day-case rate in functional endoscopic sinus surgery?. Issue 8 (29th August 2022)

• Record Type: Journal Article
• Authors: Edafe, O; Sargeant, T; Morsy, M; Oluwole, M K; Mirza, S
• Is Part Of: Journal of laryngology & otology. Volume 136:Issue 8(2022)
• Page Start: 726
• Page End: 729
• Publication Date: 2022-08-29
• Subjects: Functional Endoscopic Sinus Surgery; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1017/S0022215121004035
• Languages: English
• ISSNs: 0022-2151

Abstract

Abstract: Objective: Day-case functional endoscopic sinus surgery is associated with increased patient satisfaction and reduced costs. This study aimed to identify reasons for overnight admission with a view to improving same-day discharge. Methods: This was a retrospective observation study over a one-year period. All consecutive patients who underwent elective functional endoscopic sinus surgery were included. Results: A total of 172 patients were included in this study. Functional endoscopic sinus surgery was planned as a day-case procedure in 152 patients (88 per cent), with a planned overnight stay in 20 (12 per cent). The rate of same-day discharge in patients who underwent elective functional endoscopic sinus surgery was 80.2 per cent ( n = 138). Reasons for an unplanned overnight admission were: bleeding ( n = 8), urinary retention ( n = 3), medical co-morbidities ( n = 1), post-operative pain ( n = 1) and social reasons ( n = 1). Conclusion: There is scope to further improve the functional endoscopic sinus surgery day-case rate by utilising techniques to minimise post-operative bleeding. This has the potential to improve both patient satisfaction and service efficiency.