The effect of grade of anaesthetist on outcome after day surgery
Summary We conducted a retrospective survey to investigate if the grade of anaesthetist was a significant factor in determining outcome after day surgery in a district general hospital. All day surgery procedures performed between 1996 and 2006 were included except those under surgically administere...
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| Veröffentlicht in: | Anaesthesia 2009-02, Vol.64 (2), p.152-155 |
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| creator | Hanousek, J. Stocker, M. E. Montgomery, J. E. |
| description | Summary
We conducted a retrospective survey to investigate if the grade of anaesthetist was a significant factor in determining outcome after day surgery in a district general hospital. All day surgery procedures performed between 1996 and 2006 were included except those under surgically administered local anaesthetic. The outcome measures assessed were unplanned admissions and symptoms reported after discharge. The overall admission rate was 2.6%, the admission rate for anaesthetic‐related reasons was 1.5%, and 49% of patients reported some symptoms after discharge. Over the period studied the admission rate fell from 4.2% to 2.0%, admissions for anaesthetic‐related reasons fell from 3.0% to 0.7% and reported symptoms fell from 67% to 37%. Consultants anaesthetists were associated with the lowest unplanned admission rate (consultants 2.3%, staff grade and associate specialists 3.1%, and trainees 3.3%), the lowest admission rate for anaesthetic reasons (consultants 1.2%, staff and associate specialists 2.0%, and trainees 1.8%), lower than expected specialty‐weighted admissions and the lowest number of reported symptoms (consultants 47.3%, staff grade and associate specialists 52.6%, trainees 49.0%) (p |
| doi_str_mv | 10.1111/j.1365-2044.2008.05730.x |
| format | Article |
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We conducted a retrospective survey to investigate if the grade of anaesthetist was a significant factor in determining outcome after day surgery in a district general hospital. All day surgery procedures performed between 1996 and 2006 were included except those under surgically administered local anaesthetic. The outcome measures assessed were unplanned admissions and symptoms reported after discharge. The overall admission rate was 2.6%, the admission rate for anaesthetic‐related reasons was 1.5%, and 49% of patients reported some symptoms after discharge. Over the period studied the admission rate fell from 4.2% to 2.0%, admissions for anaesthetic‐related reasons fell from 3.0% to 0.7% and reported symptoms fell from 67% to 37%. Consultants anaesthetists were associated with the lowest unplanned admission rate (consultants 2.3%, staff grade and associate specialists 3.1%, and trainees 3.3%), the lowest admission rate for anaesthetic reasons (consultants 1.2%, staff and associate specialists 2.0%, and trainees 1.8%), lower than expected specialty‐weighted admissions and the lowest number of reported symptoms (consultants 47.3%, staff grade and associate specialists 52.6%, trainees 49.0%) (p < 0.001). We conclude that there was an improvement in outcome over the period of study and that the grade of anaesthetist is associated with outcome after day surgery.</description><identifier>ISSN: 0003-2409</identifier><identifier>EISSN: 1365-2044</identifier><identifier>DOI: 10.1111/j.1365-2044.2008.05730.x</identifier><identifier>PMID: 19143692</identifier><identifier>CODEN: ANASAB</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Ambulatory Surgical Procedures - adverse effects ; Ambulatory Surgical Procedures - standards ; Anesthesia ; Anesthesia - adverse effects ; Anesthesia - standards ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Anesthesiology ; Anesthesiology - standards ; Biological and medical sciences ; Clinical Competence ; Clinical outcomes ; Consultants ; England ; Hospitalization - statistics & numerical data ; Hospitals, District ; Hospitals, General ; Humans ; Medical personnel ; Medical sciences ; Medical Staff, Hospital - standards ; Medicine - statistics & numerical data ; Middle Aged ; Outpatient care facilities ; Ratings & rankings ; Retrospective Studies ; Specialization ; Surgery ; Treatment Outcome</subject><ispartof>Anaesthesia, 2009-02, Vol.64 (2), p.152-155</ispartof><rights>2009 The Authors. Journal compilation © 2009 The Association of Anaesthetists of Great Britain and Ireland</rights><rights>2009 INIST-CNRS</rights><rights>2009 The Association of Anaesthetists of Great Britain and Ireland</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4750-6d85906e5fd1933e25f2496fc4565381da0344b8fd1e2ec66524f5a453798b123</citedby><cites>FETCH-LOGICAL-c4750-6d85906e5fd1933e25f2496fc4565381da0344b8fd1e2ec66524f5a453798b123</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2044.2008.05730.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2044.2008.05730.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21030540$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19143692$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hanousek, J.</creatorcontrib><creatorcontrib>Stocker, M. E.</creatorcontrib><creatorcontrib>Montgomery, J. E.</creatorcontrib><title>The effect of grade of anaesthetist on outcome after day surgery</title><title>Anaesthesia</title><addtitle>Anaesthesia</addtitle><description>Summary
We conducted a retrospective survey to investigate if the grade of anaesthetist was a significant factor in determining outcome after day surgery in a district general hospital. All day surgery procedures performed between 1996 and 2006 were included except those under surgically administered local anaesthetic. The outcome measures assessed were unplanned admissions and symptoms reported after discharge. The overall admission rate was 2.6%, the admission rate for anaesthetic‐related reasons was 1.5%, and 49% of patients reported some symptoms after discharge. Over the period studied the admission rate fell from 4.2% to 2.0%, admissions for anaesthetic‐related reasons fell from 3.0% to 0.7% and reported symptoms fell from 67% to 37%. Consultants anaesthetists were associated with the lowest unplanned admission rate (consultants 2.3%, staff grade and associate specialists 3.1%, and trainees 3.3%), the lowest admission rate for anaesthetic reasons (consultants 1.2%, staff and associate specialists 2.0%, and trainees 1.8%), lower than expected specialty‐weighted admissions and the lowest number of reported symptoms (consultants 47.3%, staff grade and associate specialists 52.6%, trainees 49.0%) (p < 0.001). We conclude that there was an improvement in outcome over the period of study and that the grade of anaesthetist is associated with outcome after day surgery.</description><subject>Adult</subject><subject>Ambulatory Surgical Procedures - adverse effects</subject><subject>Ambulatory Surgical Procedures - standards</subject><subject>Anesthesia</subject><subject>Anesthesia - adverse effects</subject><subject>Anesthesia - standards</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anesthesiology</subject><subject>Anesthesiology - standards</subject><subject>Biological and medical sciences</subject><subject>Clinical Competence</subject><subject>Clinical outcomes</subject><subject>Consultants</subject><subject>England</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Hospitals, District</subject><subject>Hospitals, General</subject><subject>Humans</subject><subject>Medical personnel</subject><subject>Medical sciences</subject><subject>Medical Staff, Hospital - standards</subject><subject>Medicine - statistics & numerical data</subject><subject>Middle Aged</subject><subject>Outpatient care facilities</subject><subject>Ratings & rankings</subject><subject>Retrospective Studies</subject><subject>Specialization</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><issn>0003-2409</issn><issn>1365-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1PGzEQhq0KVNK0f6FaVYLbLuPPeC-ICKUUKYILnC3HO4aNNrvB3hXk39fbREHiVF880vvMaOYhJKNQ0PQu1wXlSuYMhCgYgC5AzjgU71_I5BickAkA8JwJKM_ItxjXAJRpqr-SM1pSwVXJJuT68QUz9B5dn3U-ew62wrGwrcXYv2BfxxS0WTf0rttgZn2PIavsLotDeMaw-05OvW0i_jj8U_L0e_F48ydfPtze3cyXuRMzCbmqtCxBofQVLTlHJj0TpfJOSCW5ppUFLsRKpxgZOqUkE15aIfms1CvK-JRc7OduQ_c6pN3Mpo4Om8a22A3RKJVOE4mfkl-fwHU3hDbtZmg541IrwROk95ALXYwBvdmGemPDzlAwo2KzNqNJM5o0o2LzT7F5T60_D_OH1Qarj8aD0wScHwAbnW18sK2r45FjFDhIAYm72nNvdYO7_17AzO_ni7HkfwG1B5RV</recordid><startdate>200902</startdate><enddate>200902</enddate><creator>Hanousek, J.</creator><creator>Stocker, M. E.</creator><creator>Montgomery, J. E.</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200902</creationdate><title>The effect of grade of anaesthetist on outcome after day surgery</title><author>Hanousek, J. ; Stocker, M. E. ; Montgomery, J. E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4750-6d85906e5fd1933e25f2496fc4565381da0344b8fd1e2ec66524f5a453798b123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Ambulatory Surgical Procedures - adverse effects</topic><topic>Ambulatory Surgical Procedures - standards</topic><topic>Anesthesia</topic><topic>Anesthesia - adverse effects</topic><topic>Anesthesia - standards</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anesthesiology</topic><topic>Anesthesiology - standards</topic><topic>Biological and medical sciences</topic><topic>Clinical Competence</topic><topic>Clinical outcomes</topic><topic>Consultants</topic><topic>England</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Hospitals, District</topic><topic>Hospitals, General</topic><topic>Humans</topic><topic>Medical personnel</topic><topic>Medical sciences</topic><topic>Medical Staff, Hospital - standards</topic><topic>Medicine - statistics & numerical data</topic><topic>Middle Aged</topic><topic>Outpatient care facilities</topic><topic>Ratings & rankings</topic><topic>Retrospective Studies</topic><topic>Specialization</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hanousek, J.</creatorcontrib><creatorcontrib>Stocker, M. E.</creatorcontrib><creatorcontrib>Montgomery, J. 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E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of grade of anaesthetist on outcome after day surgery</atitle><jtitle>Anaesthesia</jtitle><addtitle>Anaesthesia</addtitle><date>2009-02</date><risdate>2009</risdate><volume>64</volume><issue>2</issue><spage>152</spage><epage>155</epage><pages>152-155</pages><issn>0003-2409</issn><eissn>1365-2044</eissn><coden>ANASAB</coden><abstract>Summary
We conducted a retrospective survey to investigate if the grade of anaesthetist was a significant factor in determining outcome after day surgery in a district general hospital. All day surgery procedures performed between 1996 and 2006 were included except those under surgically administered local anaesthetic. The outcome measures assessed were unplanned admissions and symptoms reported after discharge. The overall admission rate was 2.6%, the admission rate for anaesthetic‐related reasons was 1.5%, and 49% of patients reported some symptoms after discharge. Over the period studied the admission rate fell from 4.2% to 2.0%, admissions for anaesthetic‐related reasons fell from 3.0% to 0.7% and reported symptoms fell from 67% to 37%. Consultants anaesthetists were associated with the lowest unplanned admission rate (consultants 2.3%, staff grade and associate specialists 3.1%, and trainees 3.3%), the lowest admission rate for anaesthetic reasons (consultants 1.2%, staff and associate specialists 2.0%, and trainees 1.8%), lower than expected specialty‐weighted admissions and the lowest number of reported symptoms (consultants 47.3%, staff grade and associate specialists 52.6%, trainees 49.0%) (p < 0.001). We conclude that there was an improvement in outcome over the period of study and that the grade of anaesthetist is associated with outcome after day surgery.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19143692</pmid><doi>10.1111/j.1365-2044.2008.05730.x</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Ambulatory Surgical Procedures - adverse effects Ambulatory Surgical Procedures - standards Anesthesia Anesthesia - adverse effects Anesthesia - standards Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anesthesiology Anesthesiology - standards Biological and medical sciences Clinical Competence Clinical outcomes Consultants England Hospitalization - statistics & numerical data Hospitals, District Hospitals, General Humans Medical personnel Medical sciences Medical Staff, Hospital - standards Medicine - statistics & numerical data Middle Aged Outpatient care facilities Ratings & rankings Retrospective Studies Specialization Surgery Treatment Outcome |
| title | The effect of grade of anaesthetist on outcome after day surgery |
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