The effectiveness of patient discharge time in One-Day Care (ODC) surgical patients based on PADSS scoring
Abstract
Background & objective: One-day surgery, defined as ambulatory surgery, is a service that provides surgery in certain cases without requiring hospitalization to minimize the cost incurred by one- day surgery service users. The objective of this study was to measure the ideal time for discharge of patients undergoing outpatient surgical procedures prospectively based on the cut- off time of the maximum PADSS (Post Anesthesia Discharge Scoring System) score.
Method: This prospective observational study was conducted at a single site. The following patients were included in the inclusion criteria: Patients admitted to the one-day care clinic for scheduled day surgery procedures. Discharge was validated by PADSS scores ≥9, following the surgeon’s approval and return from the operating room.
Results: 76 volunteered patients were assessed using PADSS after returning from the operating room. Heart rate, blood pressure, and oxygen saturation were assessed intraoperatively. The findings revealed that the patients obtained a maximum PADSS score of ≥9 at the three-hour based on the cut-off time of PADSS. There was no significant correlation between the duration of the surgery and how long the patients get the ideal time to discharge.
Conclusion: PADSS for one-day care patients can estimate the patients discharged in less than 24 h. Patients obtained a maximum score at the three-hour and returned home in optimal condition.
Abbreviations: ODC- One Day Care; PADSS- Post-Anesthesia Discharge Scoring System;
Keywords: ODC; Ambulatory Surgical Procedures, Patient Discharge, Post Anesthesia Discharge Scoring System.
Citation: Maryani N, Amsriza FR, Wahyuni A, Lutfa R. The effectiveness of patient discharge time in One-Day Care (ODC) surgical patients based on PADSS scoring. Anaesth. pain intensive care 2024;28(2):248−253; DOI: 10.35975/apic.v28i2.2427
Received: July 27, 2022; Revised: December 26, 2024; Accepted: February 26, 2024
