PURPOSE The cost implications associated with offloading outpatient surgery from hospitals to ambulatory surgery centers and the physician office remain poorly defined. Therefore, we determined whether payments for outpatient surgery vary by location of care. MATERIALS AND METHODS Using national Medicare claims from 1998 to 2006, we identified elderly patients who underwent 1 of 22 common out...

We assessed 4045 ambulatory surgery patients for surgical site infection (SSI) using claims-based triggers for medical chart review. Of 98 patients flagged by codes suggestive of SSI, 35 had confirmed SSIs. SSI rates ranged from 0 to 3.2% for common procedures. Claims may be useful for SSI surveillance following ambulatory surgery.

The prevalence of geriatric surgery is rapidly increasing and, concomitantly, the procedure anesthesia in aging population. As a result, goal this research was to compare efficacy various anesthetic methods used an ambulatory elderly

OBJECTIVE The literature lacks of studies on postoperative outcomes after urological ambulatory surgery. Our study aims to identify parameters associated with postoperative complications within 30 days after ambulatory urological surgery. MATERIALS AND METHODS Adjusted and unadjusted comparisons between clinical features and postoperative outcome (complicated and uncomplicated). RESULTS Pos...

INTRODUCTION The development of one-day surgery units has shown to be a better use of health resources without reducing quality. The objective of this study was to evaluate the effectiveness and quality criteria of ambulatory surgery program in the Hallux valgus process. MATERIAL AND METHODS A retrospective study was conducted on a sample of 753 patients who underwent a Hallux valgus process ...

Regional anaesthesia provides many advantages and can be practised safely in ambulatory surgery. It provides better postoperative pain control, avoids many complications associated with general anaesthesia and shortens recovery time. However, extra time required, associated complications and acceptance of patients are the factors of concern in practising regional anaesthesia in an ambulatory se...

Fast tracking after ambulatory surgery is a new paradigm which involves transferring patients from the operating room to the phase II recovery unit (i.e. bypassing the postanaesthesia care unit). The success of fast tracking depends upon appropriate modification of the anaesthetic technique, which would allow rapid emergence from anaesthesia, and the prevention of common postoperative complicat...

Micturition is a complex process under both involuntary and voluntary control. A variety of pathological conditions, as well as certain surgical and anesthetic procedures cause urinary retention, which may have long lasting consequences. Patients undergoing ambulatory surgery have traditionally been required to void prior to discharge; however, this practice is increasingly being questioned. Ul...

By the end of the twentieth century, more than 70 % of all elective procedures in North America will be performed on an ambulatory basis. Postoperative pain is one of the main barriers to increasing the range of ambulatory procedures. Persistent pain has been shown to lead to postoperative nausea and vomiting, delayed discharge, [1] contact with medical facility after discharge, and unanticipat...