An outpatient surgery is a surgery in which patient is allowed to go home after the completion of the surgery. Where as in inpatient surgery, the patient is admitted and post-operative care is taken at least until it is believed that patient is good enough to be discharged from the hospital.
Hence, it is evident that outpatient surgery patient’s lacks the same kind of post-operative care, an inpatient may receive, which may result in post-operative complications.
A study is done recently at the Henry Ford Hospital in Detroit using the nationwide inpatient sample to identify patients after their surgery related to urology problems between the years 1998 to 2010. The researchers have analyzed the mortality rates among the patients who were operated on an outpatient basis.
The researchers have concluded that the mortality rate among the patients remained stable, however the FTR (Failure to Rescue) mortality rates has seen a significant increase.
Failure to rescue is the term used for the care of the patients to prevent them from clinical deterioration like death or disability which could be resulted from the present illness. This includes issues like cardiac arrest, brain haemorrhage, myocardial infarction, etc).
During the study, the researchers have also analyzed the data related to the patient’s age, sex, the underlying disease and their health insurance status.
The results indicated that the patients who are old, from a minority community are at higher risk of dying following post-operative complications from an outpatient urology surgery. The results also mentioned that most of the patients who died were from financially backward families with a public insurance.
Doctors are of the view that although inpatient surgeries receives better post-operative care the outpatient surgeries helps in cutting the costs and also saves time for the patients.
Dr Jesse D. Sammon, a urology surgeon who was associated with this study has mentioned that with some careful care and attention, the nursing and support staff involved in the post-operative care should be able to understand the symptoms linked to the complications of the surgery which should help in avoid major risk of death.
The study was published online by British Journal of Urology.