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Home All Specialties Surgery

Ambulatory surgery associated with low rates of postsurgical visits for infections

byPriyanka Vedak
February 18, 2014
in Surgery
Reading Time: 2 mins read
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Image: PD

1. 3.09 per 1000 ambulatory surgical procedures required postsurgical acute care visits for clinically significant infections at 14 days and 4.84 per 1000 at 30 days.

Evidence Rating Level: 2 (Good)   

Study Rundown: Ambulatory surgery accounts for a growing proportion of surgical procedures. While concern has previously been voiced regarding the quality of infection control practices in such settings, there is minimal data regarding the risk of infection following outpatient procedures. This study confirmed a low rate of postsurgical acute care visits for clinically significant infections following ambulatory procedures. Nonetheless, it must be noted that the despite a low rate, there is still a significant absolute number of complications due to the sheer number of ambulatory procedures that occur daily. As most postsurgical acute care visits occur within 2 weeks of the procedure and likely prior to the routine follow-up visit, earlier follow up communication with patients may allow clinicians to identify and manage post-surgical complications at an earlier time point.

While this study utilized data from several different states, it may not be representative of the national population as a whole. Nonetheless, in spite of its retrospective design, the study provides valuable information regarding the rates of postsurgical infections for ambulatory surgery procedures.

Click to read the study in JAMA

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In-Depth [retrospective study]: This retrospective study utilized encounter data from 8 states in the 2010 Agency for Healthcare Research and Quality Healthcare Cost and Utilization Project (HCUP) State Ambulatory Surgery Database and State Inpatient Databases. ICD-9-CM and CPT diagnosis and procedure codes were used to analyze 284,098 ambulatory surgical procedures for postsurgical encounters involving a clinically significant surgical site infection. Postsurgical encounters included hospitalizations and ambulatory surgical visits but did not include post-surgical encounters in physician offices or emergency department visits resulting in discharge. 3.09 per 1000 ambulatory surgical procedures involved post surgical acute care visits for clinically significant surgical site infections at 14 days (95%CI, 2.89-3.30) and 4.84 per 1000 ambulatory surgical procedures at 30 days (95% CI, 4.59-5.10).

More from this author: High cumulative-dose isotretinoin treatment decreases risk of acne relapse, Iron use does not increase incidence of malaria in young children, Childhood food allergies associated with significant direct medical costs, Universal glove use not associated with reduction in acquiring antibiotic-resistance bacteria, Retinopathy of prematurity associated with nonvisual impairment in childhood

©2012-2014 2minutemedicine.com. All rights reserved. No works may be reproduced without expressed written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such by the authors, editors, staff or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT. 

Tags: ambulatory surgeryPostoperative complicationspostsurgical morbitity
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