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Abstract
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Background and Aims In Outpatient Surgery (OS), post-discharge follow-up calls are essential for identifying complications, including pain. Currently, there is a lack of scientific evidence to support the validation of follow-up protocols adjusted to patients’ specificities. This study aims to develop an individualized follow-up model.
Methods We performed a retrospective, single-center study, including patients undergoing OS at a tertiary hospital in Portugal, for three months. Follow-up calls were performed on the 7th and 14th days after discharge. Were analyzed sex, age, surgical specialty, anesthetic technique, American Society of Anesthesiologists physical status classification, surgery duration, and complications. A binary logistic regression was adjusted for the complications detected in each call.
Results 785 and 741 answered the 1st and 2nd follow-up calls, respectively. Complications were reported in 47.1% (n=370) and 29.8% (n=221) of these calls, respectively, with pain having the highest incidence rate: 44.7% in the 1st call, 26.6% in the 2nd (table 1). The type of anesthesia, surgical specialty, and, in the 1st call, surgery duration were independent risk factors for complications (p≤0.004). A model that predicts the detection of complications in each call was created (figure 1).
Incidence of complications registered in the follow-up call (the incidence rate is presented in brackets)
Calculator model
Conclusions This study recognized the influence of several variables in the incidence of post-discharge complications and emphasized that pain was the most frequently reported complication. According to it, the type of anesthesia, surgical specialty, and surgery duration should be considered when establishing individualized follow-up plans. In our reality, no follow-up calls are routinely performed after the 7th day, meaning some patients probably should be accompanied for a longer period.
Attachment I.BX8_CES (1).pdf