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Can we improve our day-case rate in functional endoscopic sinus surgery?

Published online by Cambridge University Press:  29 November 2021

O Edafe ,
T Sargeant ,
M Morsy ,
M K Oluwole  and
S Mirza
O Edafe*
Affiliation:
Department of ENT, Sheffield Teaching Hospitals Foundation Trust, Sheffield, UK
T Sargeant
Affiliation:
Department of ENT, Sheffield Teaching Hospitals Foundation Trust, Sheffield, UK
M Morsy
Affiliation:
Department of ENT, Sheffield Teaching Hospitals Foundation Trust, Sheffield, UK
M K Oluwole
Affiliation:
Department of ENT, Sheffield Teaching Hospitals Foundation Trust, Sheffield, UK
S Mirza
Affiliation:
Department of ENT, Sheffield Teaching Hospitals Foundation Trust, Sheffield, UK
*
Author for correspondence: Mr O Edafe, Department of ENT, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK E-mail: [email protected]
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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.

Keywords

Functional Endoscopic Sinus Surgery
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 8 , August 2022 , pp. 726 - 729
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Mr O Edafe takes responsibility for the integrity of the content of the paper

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