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NCT Number: NCT04142203

Implementation of 23 Hour Surgery Model in a Tertiary Hospital

Extended day surgery or 23 h surgery (23-hour surgery) is a surgical model where patients arrive to the hospital from home at the day of surgery, are operated and recover in a 23 h surgery unit. 23H surgery units are usually situated near postoperative recovery unit. THe 23 H surgical model was implemented in Kuopio University Hospital 2015 and between May 2017-May 2018 patients were recruited in the present prospective follow up cohort study. Patients were informed and they gave their informed consent. The patients were contacted two weeks after the study and details of their recovery were asked.

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Key information

Conditions

Ambulatory Surgery Adnexal Diseases Ambulatory Surgical Procedures Appendicitis Behavior Biliary Tract Diseases Cecal Diseases Cholecystolithiasis Cholelithiasis Cysts Digestive System Diseases Endocrine System Diseases Female Urogenital Diseases Female Urogenital Diseases and Pregnancy Complications Gallbladder Diseases Gastroenteritis Gastrointestinal Diseases Genital Diseases Genital Diseases, Female Gonadal Disorders Gynecologic Surgical Procedures Health Behavior Infections Intestinal Diseases Intraabdominal Infections Joint Diseases Laparoscopy Musculoskeletal Diseases Neoplasms Neurologic Manifestations Neurosurgery Ovarian Cysts Ovarian Diseases Pain Pain, Postoperative Pathologic Processes Pathological Conditions, Signs and Symptoms Patient Satisfaction Postoperative Complications Shoulder Impingement Syndrome Shoulder Injuries Signs and Symptoms Treatment Adherence and Compliance Urogenital Diseases Wounds and Injuries

Age range

18 year–100 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Kuopio University Hospital

Kuopio, Northern Savonia, 70029, Finland

About this study

Extended day surgery or 23 h surgery is a surgical model where patients arrive to the hospital from home at the day of surgery, are operated and recover in a 23 h surgery unit. 23H surgery units are usually situated near postoperative recovery unit. THe 23 H surgical model was implemented in Kuopio University Hospital 2015 and between May 2017-May 2018 patients were recruited in the present prospective follow up cohort study. Patients were informed and they gave their informed consent. The patients were contacted two weeks after the study and details of their recovery were asked. Satisfaction to the care in 23 h unit and surgical process, were asked. Amount of readmissions, reoperations, contacts to health care professionals and adverse events are recorded.

Detailed information about intensity of pain, analgesic need and use in the hospital was recorded and pain interference in daily life for short term recovery period was asked.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • adult
  • gave informed consent

Exclusion criteria

  • no informed consent

Treatment and study plan

23 h surgery

Other

Patients were treated in 23 surgical unit

Primary outcomes

  1. Amount of patients discharged from the hospital until 10 am at the first postoperative day

    Time frame: Postoperative day 1

    The amount of patients discharged from hospital by the first postoperative day 10 am

  2. Pain intensity postoperatively

    Time frame: Postoperative day 1

    Pain intensity after surgery for the first 24 hours

  3. Analgesic consumption postoperatively

    Time frame: Postoperative day 1

    Amount of different analgesics consumed during the 24 h period postoperatively

Secondary outcomes

  1. 30 days readmission rate

    Time frame: one month after surgery

    How many patients are admitted to hospital within 30 postoperative days

  2. 30 days reoperation rate

    Time frame: one month after surgery

    How many patients are reoperated within 30 postoperative days

  3. Number of adverse events during 14 postoperative days

    Time frame: 14 days after surgery

    Amount of adverse events after surgery within 14 postoperative days

  4. Contact to health care during 14 postoperative days

    Time frame: 14 days afte surgery

    Number of contacts to health care within 14 postoperative days

  5. Patient satisfaction to care in 23 hours process

    Time frame: 14 days after surgery

    Scale 0-7 (0= not satisfied, 7 =very satisfied), the higher score the better result

  6. Proportion of patients having pain postoperatively

    Time frame: Two weeks postoperatively

    Amount of patients who had pain still two weeks after surgery

  7. Postoperative pain interference after 23 h surgery

    Time frame: two weeks postoperatively

    Patient assessed pain interference in daily activities up to 2 weeks after surgery

  8. Analgesic use after 23 h surgery

    Time frame: Two weeks postoperatively

    amount of patients using analgesics two weeks after surgery

Other outcomes

  1. Adverse events after 23 h surgery

    Time frame: two weeks after surgery

    Adverse events after 23 h surgical procedure

Sponsors and collaborators

Lead sponsor

Kuopio University Hospital

Other

Registry information

Official study title

23 Hour Surgical Model in a Tertiary Hospital: Evaluation From Patient and Organisational Perspective

Acronym: Herko

Important dates

Study start
2017
Primary completion
2021
Study completion
2021
First posted
Oct 29, 2019
Registry last updated
Apr 12, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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