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Ambulatory Surgical Procedures

Ambulatory Surgical Procedures: Minimally invasive surgical interventions performed in an outpatient setting, often with rapid recovery and reduced hospital stays.
These procedures encompass a wide range of surgical specialties, including orthopedics, ophthalmology, and general surgery.
Utilizing advanced techniques and technologies, Ambulatory Surgical Procedures offer patients a more convenient and cost-effective alternative to traditional inpatient surgeries, while maintaining high standards of safety and quality of care.
Researchers and clinicians can leverage PubCompare.ai's intelligent comparison tools to easily identify the best protocols and products from the latest literature, pre-prints, and patents, taking the guesswork out of their research and enabling informed decesions.

Most cited protocols related to «Ambulatory Surgical Procedures»

1
Functional Status of Dutch Outpatient Clinic Visitors
Adult visitors to the outpatient clinic of the Department of Surgery and also staff at 4 different Dutch hospitals were asked to participate in this study. The 4 hospitals were located in different regions (both rural and urban) and consisted of 1 university hospital and 3 teaching hospitals. Since it was not possible to perform a prospective sample size calculation, we chose to include a minimum of 250 individuals at each hospital. We considered this to be a large enough population to be representative of the whole population. We constantly monitored the age and sex of the respondents in order to obtain comparable group sizes. As data collection took several days at each hospital, after each day we checked the numbers of men and women and the distribution across different age categories. When differences arose, specific sex and/or age groups were approached to participate in the day(s) that followed.
The study consisted of a short questionnaire in which the postal code, age (as a continuous variable and subdivided into 3 categories (18–39, 40–64, and over 64 years)), sex, and work status (student, working, retired, unemployed, unfit for work, or other) of the subjects were recorded. When participants were actively employed at the time of filling out the questionnaire, they were requested to report whether they considered their employment to be blue-, pink-, or white-collar (i.e. very physically demanding, moderately physically demanding, or not physically demanding). After this, they were asked whether they had a history of lower extremity surgery and—if this was the case—how long ago. In addition, they were asked whether they were currently scheduled for lower extremity surgery. Next, they were presented with the Dutch version of the lower extremity functional scale (LEFS) (Hoogeboom et al. 2012 (link)) The LEFS has 20 items in 4 categories. For each question, 0 to 4 points can be earned, so 80 points can be earned in total—indicating maximal lower extremity function (Binkley et al. 1999 (link)) The Dutch version of the LEFS has been validated using the SF-36 as a reference and proved to have good internal consistency, good reliability, and good construct and discriminant validity, while showing no floor or ceiling effects (Hoogeboom et al. 2012 (link)).
Individuals were excluded if they had had lower extremity surgery within 1 year of filling out the questionnaire. Participants who were scheduled for lower extremity surgery were also excluded. Missing data in the LEFS were treated according to the instructions of the developers of the questionnaire (Stratford et al. 2005 ). When questionnaires contained more than 4 missing answers, or 3 missing within 1 domain, they were excluded (Stratford et al. 2005 ).
We obtained data on socioeconomic status (SES) from the Netherlands Institute for Social Research (Sociaal Cultureel Planbureau). For all postal codes, a number is available that reflects the SES of that particular area. This figure ranges from −6.7 to +3.1, where 0 represents the average SES for the Netherlands.
Dingemans S.A., Kleipool S.C., Mulders M.A., Winkelhagen J., Schep N.W., Goslings J.C, & Schepers T. (2017). Normative data for the lower extremity functional scale (LEFS). Acta Orthopaedica, 88(4), 422-426.
Publication 2017
Adult Age Groups Ambulatory Surgical Procedures Lower Extremity Operative Surgical Procedures Personnel, Hospital Student Woman
2
Measuring Inpatient Hospital Days
In the inpatient domain we calculated the mean number of hospital days per individual. Information on hospital treatment in claims data includes all services provided by a hospital (inpatient services, day-care services, outpatient surgery and ambulatory emergency treatment). In contrast, the KORA-Age questionnaire exclusively targeted inpatient services, requiring at least one overnight stay. To ensure comparability, we identified inpatient hospital treatment from the claims data via billing and documentation characteristics.
Hunger M., Schwarzkopf L., Heier M., Peters A, & Holle R. (2013). Official statistics and claims data records indicate non-response and recall bias within survey-based estimates of health care utilization in the older population. BMC Health Services Research, 13, 1.
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Publication 2013
Ambulatory Surgical Procedures Day Care, Medical Hospital Administration Hospitalization Inpatient Treatment, Emergency
3
Stepped Collaborative Care for PTSD
The University of Washington Institutional Review Board approved all study procedures prior to initiating the protocol. Between April 2006 and September 2009, injured trauma survivors admitted to the University of Washington’s Harborview Level I trauma center were approached at bedside for participation. After providing written informed consent, potential participants were screened twice for high PTSD symptom levels with the PTSD Checklist Civilian Version (PCL-C),34 once while surgical inpatients (median hospital days = 4, interquartile range (IQR) = 7), and again in the early days and weeks after hospital discharge (median days after index injury event = 13, IQR = 17), either in the outpatient surgery clinic or over the telephone. It was determined that with 100 patients randomized to each group, loss to follow-up of 20%, and a two-tailed α = 0.05, there would be > 80% power to detect an effect size of ≥0.4 when analyzing PTSD symptoms as a continuous variable.35 (link)Two-hundred seven patients who screened positive at both time points were randomized to the stepped collaborative care intervention (n = 104) or usual care control (n = 103) conditions. All patients received evaluations of PTSD, depression, and alcohol consumption, as well as functional impairments and health service utilization, at baseline in the surgical ward before randomization, and again after randomization at one-, three-, six-, nine-, and twelvemonths post-discharge.
Zatzick D., Jurkovich G., Rivara F.P., Russo J., Wagner A., Wang J., Dunn C., Lord S.P., Petrie M., O’Connor S.S, & Katon W. (2013). A Randomized Stepped Care Intervention Trial Targeting Posttraumatic Stress Disorder for Surgically Hospitalized Injury Survivors. Annals of surgery, 257(3), 390-399.
Publication 2013
6-pyruvoyl-tetrahydropterin synthase deficiency Ambulatory Surgical Procedures Ethics Committees, Research Injuries Inpatient Operative Surgical Procedures Patient Discharge Patients Survivors Wounds and Injuries
4
Frailty, Cognition, and Postoperative Delirium in Older Spine Surgery Patients
The Partners Human Research Committee / Institutional Review Board approved this prospective observational cohort study (# 2016P000012) that was also registered in clinicaltrials.gov (# NCT02922634). This is a primary analysis of data. Between April 17, 2017 and October 9, 2018, study staff members recruited patients ≥ 70 years of age who were scheduled for elective spine surgery at the Brigham and Women’s Hospital and were expected to have an inpatient admission following their procedure. We selected this patient population because spine surgery is the 3rd most common surgical procedure in older persons18 (link) and our prior work showed that nearly 20% of this surgical demographic develops delirium postoperatively.19 This type of surgery is relatively homogeneous and grouped within tiers of invasiveness. Eligible patients were identified by review of the preoperative evaluation schedule in the electronic medical record. Exclusion criteria included planned outpatient surgery; history of overt stroke or brain tumor; uncorrected vision or hearing impairment (unable to see pictures or read or hear instructions); limited use of the dominant hand (limited ability to draw); and/or inability to speak, read or understand English.
We planned to prospectively enroll a total of 229 patients in the study based on a power calculation of the number of patients required for 85% power to detect a 50% difference in POD (primary outcome) at the P = 0.05 level between patients with and without a positive cognitive or frailty screen, assuming a baseline incidence of POD of 15% and approximately a 10% loss to follow up. After obtaining written informed consent, patients were screened using the FRAIL scale to identify frailty and the Mini-Cog and Animal Verbal Fluency tests to evaluate cognitive performance in the Brigham and Women’s Hospital Weiner Center for Preoperative Evaluation on the day of the patient’s scheduled preoperative evaluation which takes place no more than 4 weeks prior to surgery.9 (link),10 The FRAIL scale8 (link),16 (link) is a simple 5 point screen that measures Fatigue, Resistance (ability to climb one flight of stairs), Ambulation (ability to walk one block), Illness (greater than 5 past or current diagnoses) and weight loss (>5%). Each positive response within a domain scores 1 point, yielding a maximum score of 5. Higher scores indicate increased frailty; as described by others, we defined frail as a score of 3 or above and pre-frail as a scores of 1–2. We selected the Mini-Cog and Animal Verbal Fluency tests for cognition because they are brief, have been used previously in older surgical populations, and have been shown to be associated with the development of POD.9 (link)–11 (link),15 (link) The Mini-Cog is a simple and validated cognitive screening tool that includes a three-item recall of memory and a clock drawing component that is graded on a 5-point scale, where a score of 2 or less is considered probable cognitive impairment. Animal Verbal Fluency is a similarly simple and brief cognitive screening tool where the subject is asked to name as many animals as possible in 60 seconds and a score of 16 or less has previously been demonstrated to be associated with POD.11 (link),20 (link) For the primary analysis both Mini-Cog and Animal Verbal Fluency scores were analyzed linearly. We categorized the complexity and invasiveness of the surgical procedure according to an established 4-tier rating system: microdiscectomy is a tier 1 procedure; lumbar laminectomy, anterior cervical procedures or minimally invasive fusions are tier 2; lumbar fusion, trauma, or posterior cervical fusion procedures are tier 3; and tumor, infection, deformity, or combined anterior and posterior cervical procedures are tier 4.21 (link) For the analysis, we grouped tiers 1 and 2 (less complex) and 3 and 4 (more complex) together as there were few patients in categories 1 or 4. Other demographic and medical information such as age, sex, body mass index, highest level of education, American Society of Anesthesiologists (ASA) functional status, Metabolic Equivalent of Task (METS), total number of medications, preoperative use of opioids, alcohol consumption, and past medical history of depression and psychiatric comorbidities were obtained from the medical record.
Incidence of POD was the primary outcome. POD was identified both by chart review using published criteria and by direct, independent assessment with the Confusion Assessment Method (CAM).10 ,22 (link),23 (link) The CAM was administered once per day on postoperative days 1 to 3, or until discharge if the patient was discharged early, by an investigator blinded to chart review information. We used both methods because they are complementary. Delirium typically waxes and wanes so it can be missed if the CAM is administered during the waning period. Conversely, chart review reflects events over an entire day but may miss hypoactive POD, the most common form.1 (link) The secondary outcomes included all in-hospital cardiopulmonary (myocardial infarction, congestive heart failure, cardiac arrest, new onset arrhythmia, pulmonary embolism, reintubation and deep venous thrombosis), infectious (wound infections, pneumonia, sepsis and urinary tract infection), renal (acute renal injury), or cerebrovascular (stroke and transient ischemic accident) complications, discharge to place other than home and hospital length of stay.
Study data were managed using Research Electronic Data Capture (REDCap) hosted at Partners Healthcare.24 (link)
Susano M.J., Grasfield R.H., Friese M., Rosner B., Crosby G., Bader A.M., Kang J.D., Smith T.R., Lu Y., Groff M.W., Chi J.H., Grodstein F, & Culley D.J. (2020). Brief Preoperative Screening for Frailty and Cognitive Impairment Predicts Delirium Following Spine Surgery. Anesthesiology, 133(6), 1184-1191.
Publication 2020
Accidents Ambulatory Surgical Procedures Anesthesiologist Animals Brain Neoplasms Cardiac Arrest Cardiac Arrhythmia Cerebrovascular Accident Cognition Cognitive Testing Congenital Abnormality Congestive Heart Failure Deep Vein Thrombosis Delirium Diagnosis Disorders, Cognitive Elective Surgical Procedures Ethics Committees, Research Fatigue Hearing Hearing Impairment Homo sapiens Index, Body Mass Infection Inpatient Kidney Kidney Injury, Acute Laminectomy Lumbar Region Memory Mental Recall Metabolic Equivalent Myocardial Infarction Neck Neoplasms Operative Surgical Procedures Opioids Patient Discharge Patients Pharmaceutical Preparations Pneumonia Pulmonary Embolism Septicemia Transients Urinary Tract Infection Vertebral Column Waxes Woman Wound Infection Wounds and Injuries
5
Scandinavian ACL Reconstruction Registries
The Scandinavian registries were established in June 2004 (Norway), January 2005 (Sweden), and July 2005 (Denmark). The latter two were based on the Norwegian registry. There is no overriding difference between these registries. Details of the Norwegian ACL registry have been described previously by Granan et al. (2008) (link).
The Norwegian and Swedish registries depend on surgeons reporting on a voluntary basis to the registries. In Denmark, a law passed in June 2006 made it compulsory for all public and private hospitals and clinics to report to the approved national, clinical databases. Reporting to the databases in Denmark and Sweden is organized through a secure internet portal, thus minimizing the costs of daily running. In Norway, the registry relies on paper-based reporting, mainly due to the close cooperation with the Norwegian Arthroplasty Register (NAR), which makes use of an identical system.
In Denmark, 90% of all orthopedic departments have been contributing to the registry, with an average compliance of 85% of the primary ACL reconstructions performed. In Norway, all hospitals performing ACL surgeries have contributed, with a total compliance of 97%. In Sweden, some of the smaller hospitals with small volumes of ACL surgery have not been included in the registry, yet more than 71% of the hospitals have contributed to the registry.
Follow-up with KOOS (Knee injury and Osteoarthritis Outcome Score) forms is carried out by all 3 registries. In Denmark, these follow-ups are done at 1, 5, and 10 years postoperatively. In Norway they are done at 2, 5, and 10 years postoperatively, and in Sweden they are done at 1, 2, 5, and 10 years postoperatively.
All registries provide annual reports, both on a national basis and for the individual hospitals. Sweden also offers an online database where clinics can analyze their own statistics at any time. The Danish database is managed by a special university center that manages all Danish national orthopedic databases. In Norway, the technical responsibility rests with Helse Vest IKT AS, which manages all Norwegian national orthopedic databases. In Sweden, the Capio Artro Clinic in Stockholm is responsible for the registry on a daily basis.
For the present study, data regarding common and comparable variables related to the primary ACL reconstruction were extracted (hospital, sex, age at injury and surgery, activities causing injury, time to surgery, frequency of cartilage and meniscal injuries, meniscal resections, and cartilage treatments, choice of graft, choice of graft fixation devices, duration of surgery, prophylactic antibiotics and anticoagulation, outpatient surgery, number of reconstructions, and preoperative and postoperative KOOS).
Granan L.P., Forssblad M., Lind M, & Engebretsen L. (2009). The Scandinavian ACL registries 2004–2007: baseline epidemiology. Acta Orthopaedica, 80(5), 563-567.
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Publication 2009
Ambulatory Surgical Procedures Antibiotics, Antitubercular Arthroplasty Cartilage Compulsive Behavior Condoms Degenerative Arthritides Grafts Injuries Knee Injuries Medical Devices Meniscectomy Meniscus Operative Surgical Procedures Reconstructive Surgical Procedures REST protein, human Scandinavians Surgeons

Most recents protocols related to «Ambulatory Surgical Procedures»

1
Sample Size Calculation for Binary Outcomes
We performed sample size calculations recommended for binary outcomes [18 (link)], using the ‘pmsampsize’ module in Stata software version 16 and 17 (StataCorp) [19 ]. For these calculations, we used an expected R2 of 0.072 from a recent study with a similar model [20 (link)], expected outcome incidences ranging from 1.7% for ambulatory surgery [9 (link)] and 8.0% for inpatient surgery [20 (link)], and the maximum candidate predictor parameters of 32. The minimum sample size ranged from 3838 to 3881 participants with 66 to 308 events depending on the incidence values used for the expected outcomes (Supplementary Table 5).
Harrison T.G., Hemmelgarn B.R., James M.T., Sawhney S., Manns B.J., Tonelli M., Ruzycki S.M., Zarnke K.B., Wilson T.A., McCaughey D, & Ronksley P.E. (2023). Prediction of major postoperative events after non-cardiac surgery for people with kidney failure: derivation and internal validation of risk models. BMC Nephrology, 24, 49.
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Publication 2023
Ambulatory Surgical Procedures Inpatient Operative Surgical Procedures
2
Preoperative Kidney Failure and Surgical Outcomes
We included all adults (≥ 18 years) with an inpatient or ambulatory surgery performed between April 1 2005 and February 28 2019 in Alberta, Canada. Surgeries were identified using the Canadian Classification of Health Interventions (CCI) coding [14 ], which is a standardized coding system for procedures. Radiologic or non-surgical procedures were excluded (e.g., endoscopy, hemodialysis catheter insertion, arteriovenous [AV] fistulogram, etc.). Further, we included only those with preoperative kidney failure, defined as an eGFR < 15 mL/min/1.73m2 or receiving hemodialysis or peritoneal dialysis for at least 90 days as an outpatient before the index surgical procedure. For non-dialysis participants, at least two outpatient measures of serum creatinine between 7–365 days were necessary prior to surgery to avoid misclassification of people with preoperative acute kidney injury, per a validated algorithm [15 (link)]. We estimated eGFR using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation without including the Black race coefficient [16 (link)]. We excluded people that left Alberta within 30 days of their surgery, and those without available demographic data.
Harrison T.G., Hemmelgarn B.R., James M.T., Sawhney S., Manns B.J., Tonelli M., Ruzycki S.M., Zarnke K.B., Wilson T.A., McCaughey D, & Ronksley P.E. (2023). Prediction of major postoperative events after non-cardiac surgery for people with kidney failure: derivation and internal validation of risk models. BMC Nephrology, 24, 49.
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Publication 2023
Adult Ambulatory Surgical Procedures Catheterization Creatinine Dialysis EGFR protein, human Endoscopy Hemodialysis Inpatient Kidney Failure Kidney Injury, Acute Negroes Operative Surgical Procedures Outpatients Peritoneal Dialysis Serum
3
Costs of Acute Achilles Tendon Repair
Preoperative patient demographics and characteristics assessed included age, gender, geographic region, and employment status, as well as information about their health insurance and care, including plan type, in-network service, and number of encounters. Patients were designated as having received nonoperative vs operative management of ATR, with operative repair defined by Current Procedural Terminology (CPT) codes 27650 and 27652. Utilization of the following medical services was recorded: clinic visits, ankle radiographs, lower extremity magnetic resonance imaging (MRI), and physical therapy (PT). Duration of opioid use and surgery setting (hospital vs ambulatory surgery center [ASC]) were also collected. The primary outcome measures were net payment, total payment, coinsurance, copayment, deductible, and coordination of benefits per savings (COB/savings) amounts.
Murdock C.J., Ochuba A.J., Xu A.L., Snow M., Bronheim R., Vulcano E, & Aiyer A.A. (2023). Operative vs Nonoperative Management of Achilles Tendon Rupture: A Cost Analysis. Foot & Ankle Orthopaedics, 8(1), 24730114231156410.
Publication 2023
Ambulatory Surgical Procedures Ankle Clinic Visits Gender Health Insurance Lower Extremity Operative Surgical Procedures Opioids Patients Therapy, Physical X-Rays, Diagnostic
4
Pediatric Outpatient Surgery Unit in Barcelona
The study was carried out in the pediatric outpatient surgery unit of a hospital in Barcelona. A third-level University Hospital specialized in the health of children and pregnant women and the first pediatric center in Spain to implement an Outpatient Surgery Unit. The unit has 23 armchairs/individual beds with enough space for two accompanying persons (father/mother) to be with the child during the preparation and after the surgical procedure. Four surgical procedures are performed (two in the morning and two in the afternoon), which can be in the specialty of surgery, ophthalmology, traumatology, otorhinolaryngology, dermatology and dentistry, depending on the surgical schedule.
Jerez Molina C., Lahuerta Valls L., Fernandez Villegas V, & Santos Ruiz S. (2023). Nursing evaluation of pediatric preoperative anxiety: a qualitative study. Revista Latino-Americana de Enfermagem, 31, e3738.
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Publication 2023
Ambulatory Surgical Procedures Children's Health Mothers Operative Surgical Procedures Pregnant Women
5
Perioperative Nurses' Anxiety Assessment
It was proposed the participation of all perioperative nurses from the outpatient surgery unit of the two shifts, about 15 nurses. All nurses in charge of care for children who were admitted to the unit on the day of their surgical intervention. Participants were selected by maximum variation sampling20, which ended when data saturation was reached21. Two evaluators decided by consensus when the data saturation was reached. The participants were chosen taking into account that they worked in the unit and were in charge of care for child and, therefore, for the assessment of anxiety before the surgical intervention; and that there was representation of nurses from both shifts (morning and afternoon). The final sample included nine participants. The first author invited personally and individually all the nurses of the unit to participate. One of the selected nurses who met the eligibility criteria did not agree to be interviewed and/or observed in their daily practice for personal reasons.
Jerez Molina C., Lahuerta Valls L., Fernandez Villegas V, & Santos Ruiz S. (2023). Nursing evaluation of pediatric preoperative anxiety: a qualitative study. Revista Latino-Americana de Enfermagem, 31, e3738.
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Publication 2023
Ambulatory Surgical Procedures Anxiety Charge Nurses Child Eligibility Determination Nurses Operative Surgical Procedures

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More about "Ambulatory Surgical Procedures"

Ambulatory Surgical Procedures, also known as Outpatient Surgical Interventions, refer to minimally invasive surgical techniques performed in an outpatient or ambulatory care setting.
These procedures often involve rapid recovery times and reduced hospital stays, making them a more convenient and cost-effective alternative to traditional inpatient surgeries.
Ambulatory Surgical Procedures encompass a wide range of surgical specialties, including orthopedics, ophthalmology, general surgery, and more.
Utilizing advanced techniques and technologies, such as the Ultrapro system, Stealth navigation system, and SigmaStat statistical software, these procedures maintain high standards of safety and quality of care.
Researchers and clinicians can leverage intelligent comparison tools, like those offered by PubCompare.ai, to easily identify the best protocols and products from the latest literature, pre-prints, and patents.
This helps to take the guesswork out of their research and enables them to make informed decisions, leveraging data from SAS 9.4, SPSS for Windows version 15.0, EpicCare, Stata version 14, and SPSS Statistics ver. 25.0.
By optimizing Ambulatory Surgical Procedures with AI-powered research and protocol comparison, healthcare professionals can enhance patient convenience, reduce costs, and maintain exceptional outcomes, all while staying up-to-date with the latest advancements in the field, such as the Modular E170 system.