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首页> 外文期刊>Current opinion in anaesthesiology >Outcomes in day surgery.
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Outcomes in day surgery.

机译：日间手术的结果。

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PURPOSE OF REVIEW: To summarize and examine the updated published results on the outcome measures that can be used to assess the quality of ambulatory surgery and anesthesia. RECENT FINDINGS: Major morbidity and mortality following ambulatory surgery is exceedingly low. Cancellations and delays may have a negative impact on the patients, healthcare personnel and the organizations. Minor cardiovascular adverse events are the most common intraoperatively and are associated with preexisting cardiovascular diseases and elderly patients. Respiratory events postoperatively are associated with obesity, smoking and asthma. Also, pain is a common cause for longer postoperative stay, unanticipated admission and readmission. Postoperative nausea and vomiting occurs in 30% of patients and strongly affects patient satisfaction. Furthermore, prolonged stays are mainly caused by surgical factors, or minor symptoms like pain or nausea. Surgical factors are also the main causes of unanticipated hospital admission. The type of surgery and the 24 h postoperative symptoms may affect the degree of return to daily living function. Also, patient satisfaction affects the outcome of healthcare and the use of healthcare services. SUMMARY: Ambulatory surgery, as currently practiced, provides quality care that is cost-effective. Minor adverse events such as pain and postoperative nausea and vomiting are still common, and improvement could be targeted in these areas.
机译：审查目的：总结和检查有关可用于评估非卧床手术和麻醉质量的结果指标的最新公布结果。最近的发现：非卧床手术后的主要发病率和死亡率极低。取消和延误可能会对患者，医护人员和组织产生负面影响。较小的心血管不良事件是术中最常见的事件，与既往的心血管疾病和老年患者有关。术后呼吸事件与肥胖，吸烟和哮喘有关。同样，疼痛是导致术后住院时间延长，意外入院和再入院的常见原因。术后有30％的患者发生恶心和呕吐，严重影响患者的满意度。此外，长时间停留主要是由手术因素或轻微症状（如疼痛或恶心）引起的。手术因素也是意外入院的主要原因。手术的类型和术后24小时的症状可能会影响日常生活功能的恢复程度。而且，患者满意度会影响医疗保健的结果和医疗保健服务的使用。简介：目前，门诊手术可提供经济有效的优质护理。轻微的不良事件（如疼痛，术后恶心和呕吐）仍然很常见，可以在这些领域进行改善。

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