Hernández-Avendaño V, Jiménez-López M, Salazar-Lozano CR

Language: Spanish
References: 15
Page: 95-103
PDF size: 1026.28 Kb.

ABSTRACT

Background: Major ambulatory surgery is the procedure in which the patient is admitted the day of surgery and discharged after a short period of time. In USA 35 million of this kind of surgeries are done each year. In Mexico, nearly 50% of surgeries are ambulatory. Patients with chronic disease can be candidates if they have an adequate treatment.
Methods: We performed a cost-benefit analysis of the procedures carried out in a 4-year period. Patients with hospital stay of less than 48 hours were included, and their medical an economic variables were analyzed and compared to a similar group.
Results: We included 100 patients and they were grouped by type of surgery performed. With base on a Mann Whitney U test we confirmed that the populations were similar. On the medical aspect, we found that with qualified surgeons and anesthesiologists, the rate of complications is low and there are not re-interventions. On the economics part, we found that it is possible to establish a systematic program in which the hospital stay is 36 hours on average, and this would allow to attend more patients.
Conclusions: The monthly savings with this type of surgery is an average of $ 256,845, this allows the opportunity of attending a larger number of patients and also to perform work for improvement and maintenance. Complete and adequate peoperatory evaluation is essential, since it is always better to treat a surgery patient elective.

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