Perioperative medicine & outcomes
Unplanned hospital admissions within 24 h after 53,185 surgical procedures at a U.S. ambulatory surgery center
Authors' conclusion
The overall incidence of unplanned hospital admission after surgery at a large tertiary care ambulatory surgery center is very low.
Study context
- Population
- Adults undergoing surgery at a US hospital ambulatory surgery center (ASC), January 1, 2016 to December 31, 2022cases over 7 years
- Participants
- 53,185 adults
- Exposure
- Unplanned admission vs No unplanned admission
- Outcome
- Incidence of unplanned hospital admission
- Follow-up
- Within 24 h after surgery
Methodological detailssingle-centre, multivariable Firth logistic regression
- Single-centre
- Multivariable Firth logistic regression
Main finding
As reported in the abstract
Overall incidence
0.09%
95% CI 0.07–0.1122%
Range per year
0.05 to 0.12%
Observational data: associations, not effects.
Further findings
Risk factors for unplanned hospital admission (multivariable Firth logistic regression)
| OR (95% CI) | P value | ||
|---|---|---|---|
| Surgery duration | 1.010 (1.007–1.012) | P < 0.0001 | |
| Peripheral vascular disease | 14.489 (4.862–43.174) | P < 0.0001 | |
| Deep venous thrombosis | 5.527 (1.909–16.001) | P = 0.0016 | |
| 0.050.21520Odds ratio (log scale) |
Original publication
Unplanned hospital admissions within 24 h after 53,185 surgical procedures at a U.S. ambulatory surgery center. Perioper Med (Lond). Published 13 August 2024. doi:10. 1186/ s13741-024-00447-y
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