Study of Day Care Surgery in a Private Charitable Hospital
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 7
Abstract
Introduction: History of ‘Day Care’ or ‘Ambulatory Surgery’ is as old as medicine itself. In the present century, with the better understanding of healing process, increase in surgical skills and availability of anaesthetic drugs has led to the development of Day Care Surgery or Ambulatory Surgeries into an art in itself. Aim: To Assess the feasibility, cost benefit and factors for strengthening the potentials of Day Care Surgery in a private charitable hospital. Materials & Methods: This was a prospective comparative study carried over a period of 1 month involving patients between 18 years-65 years of age with ASA Grade I or II. A total of 40 patients were selected and divided into 2 groups, Group A (Patients undergoing day care surgery) and Group B (Patients not undergoing day care surgery). Group A patients were admitted on the day of surgery and discharged on the same day evening. Group B patients were discharged on Day 3 or after suture removal, depending upon their condition and social status. Patients in both the groups were analyzed with respect to wound infection, duration of stay in ward, approximate cost incurred and post-operative pain.. Post operative analgesia was also administered. All the patients were followed up for 15 days postoperatively. Results: In Group A, there were 15 males and 5 females while in group B there were 14 males and 6 female patients. Both the groups were comparable in terms of age and operative procedures carried. Both groups had 1 complication each. Average Hospital cost was Rs 300/ patient in Group A whereas it was Rs 1185/patient in Group B. Conclusion: Day care surgery is possible in Private charitable Hospital with a dedicated day care surgery unit and it definitely decreases the expenses, hence cost effective.
Authors and Affiliations
Rochana G. Bakhshi
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