PMID: 18181319Jan 10, 2008Paper

Recovery pattern and home-readiness after ambulatory gastrointestinal endoscopy

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
Somchai AmornyotinSiriporn Kongphlay

Abstract

Despite increased use of ambulatory gastrointestinal endoscopy, few data exist regarding patient recovery patterns and home-readiness. The authors prospectively identified the pattern of home-readiness, the persistent symptoms after procedure and the factors that delay discharge after home-readiness criteria are satisfied. Three hundred and sixty nine patients were scored by the investigator using the Modified Post-Anesthetic Discharge Scoring System (PADSS) every 30 min, commencing 30 min after procedure, until the PADSS score was > or =9. The same investigator telephoned each patient 24 hr after discharge to administer a standardized questionnaire so that postoperative symptoms could be identified. The number of patients who satisfied the PADSS home-readiness criteria was 81.6%, 97.9%, and 100% at 30, 60, and 90 min, respectively. All patients were promptly discharged before two hours. After home-readiness criteria were satisfied, 36% of patients had delayed discharge because of the unavailability of immediate escorts or other non-medical reasons. No patient had persistent symptoms and all patients could achieve a PADSS score > or =9 three hours after anesthesia. The patients undergoing shorter endoscopic procedures, such as ...Continue Reading

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