AN AUDIT OF PATIENTS’ SATISFACTION AFTER ADULT DAY-CASE SURGERY AT AYUB TEACHING HOSPITAL, ABBOTTABAD

Authors

  • Mukhtar Ahmad
  • Arshad Zafar
  • Samson Griffin
  • Sajjad Ahmad
  • Nasir Orakzai
  • Faisal Fayyaz

Abstract

Background: Day-case surgery has become an important component in the provision of surgical care in the Western countries. This study was done to introduce the concept of day-case surgery and assess the patients’ satisfaction after day case general surgery in our set up with vast rural communities lacking medical facilities and no day-case surgery units in the hospitals. Methods: All those patients suitable for day-case surgery and who accepted day-case surgery for general surgical procedures in General Surgical ‘A’ unit of Ayub Teaching Hospital, Abbottabad were interviewed after the operation on follow up visits. Questions were asked about their satisfaction with day-case surgery. If they were not satisfied, the reasons for dissatisfaction were noted. Direct admissions and re-admissions after day-case surgery were recorded. Any complications in the postoperative period were also noted. The patient’s preference for a similar procedure as day-case in future was also recorded. Results:  There were 122 patients in this study. 60(49%) were operated under general anesthesia and 62(51%) under local anesthesia. Fourty Nine (40%) patients were satisfied while 73(60%) were not satisfied with day-case surgery. Six (5 %) patients were admitted directly after day-case surgery while 7(5.7%) patients were admitted after discharge. Complications occurred in 41(33.6%) patients at home. Wound complications and pain were the most common morbidity encountered by the patients. Twenty eight (23%) patients contacted a hospital or a doctor in the early postoperative period. Sixty two (51%) patients would prefer operation as in-patient while 74 (60.6 %) would prefer an overnight stay after the operation next time. Conclusions:  Patients’ satisfaction with day-case surgery in Ayub Teaching Hospital is not high. Short-stay surgery would be more appropriate in our set up.Keywords: Day-case surgery, patients satisfaction, complications 

References

Kingsnorth A. Day Case Surgery. In: Mann CV, Russel RCG, Williams NS [Eds]. Short Practice of Surgery 22nd edn. London. Chapman and Hall. 1995: 1011-20.

Commission on the Provision of Surgical Services. Report of the working party on Guidelines for Day Case Surgery. London: Royal College of Surgeons of England, 1992.

Hukins GB, Richter AM, Van Staden N. Day clinics and hospitals- a cost comparison. S Afr Med J 2001;91:66-72.

Ghosh S, Sallam S. Patient satisfaction and postoperative demands on hospital and community services after day surgery. Br J Surg 1994;81:1635-8.

Maddern GJ. The changing pattern of surgery. Br J Surg 1996;83:145-6.

Fitzpatrick R. Survey of patients’ satisfaction 1. Important general considerations. BMJ 1991;302:887-9.

Wong LS, Kaukuntal HK, Lam FT, Fraser IA. A survey of patient satisfaction after day case surgery. Int J Clin Pract 1999;53:189-191.

Buttery Y, Sissons J, Williams KN. Patients’ views one week after day surgery with general anesthesia. Journal of One-Day Surgery 1993;3:6-8.

Bain J, Kelly H, Snadden D, Staines H. Day Surgery in Scotland: patient satisfaction and outcome. Qual Health Care 1999;8:86-91.

Favretti F, Pucciarelli S, Lise M, Tieba M, Rotigliano GF, Banzata O. Feasibility of outpatient surgery in the tropics. Trop Doc 1990;20:18-20.

Hunter JD, Chambers WA, Penny KI. Minor morbidity after day-case surgery. Scott Med J 1998;43:54-6.

Wilkinson D, Bristow A, Higgins D. Morbidity following day surgery. Journal of One Day Surgery 1992;2:5-6.

McHugh GA, Thoms GM. The management following day-case surgery. Anaesthesia 2002,57:270-5.

Issue

Vol. 17 No. 1 (2005): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

ORIGINAL ARTICLE

License

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