Minimally invasive surgery and one-day care
Authors:
Lukáš Havlůj 1; Vladimír Teplan 1; Jan Bafrnec 1; Petr Waldauf 2; Robert Gürlich 1
Authors‘ workplace:
Chirurgická klinika 3. LF UK a FN Královské Vinohrady, Praha
1; Klinika anesteziologie a resuscitace 3. LF UK a FN Královské Vinohrady, Praha
2
Published in:
Čas. Lék. čes. 2020; 159: 22-25
Category:
Original Article
Overview
Due to population aging in developed countries, it has become necessary to prepare a functional health care plan for the elderly. One of the possibilities to improve postoperative outcomes and recovery in elderly patients is to perform common surgical procedures in the regime of one-day surgery.
We compared elderly patients who underwent surgery in a large university hospital with elderly patients who underwent surgery in a facility dedicated to one-day surgery. The homogeneity and clinical outcomes of the two groups were statistically analyzed. Complications were assessed according to the Clavien-Dindo classification.
There were no statistically significant differences in demographic data and pre-operative risk assessment (ASA). The one-day surgery group had fewer complications and a shorter average hospital stay.
Advanced age is not the only criterion for assessing the biological state of the patient and therefore does not always necessitate surgical care in a university hospital setting with a high volume of acute and complicated cases. Many elderly patients will benefit from a more individualized approach and healthcare facilities that specialize solely in elective procedures. When indicating elderly patients for one-day surgery, their health status is more important than their calendar age.
Keywords:
one-day surgery – mini-invasive surgery – elderly patients
Sources
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Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain managementArticle was published in
Journal of Czech Physicians
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