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A policy of day-case sinonasal surgery is safe, well tolerated and cost-effective

Published online by Cambridge University Press:  26 March 2021

M Duignan ,
C Lao ,
R Lawrenson  and
A J Wood
M Duignan
Affiliation:
Department of Otolaryngology, Waikato Hospital, Hamilton, New Zealand
C Lao
Affiliation:
Waikato Medical Research Centre, Waikato University, Hamilton, New Zealand
R Lawrenson
Affiliation:
Waikato Medical Research Centre, Waikato University, Hamilton, New Zealand Strategy and Funding, Waikato District Health Board, Hamilton, New Zealand
A J Wood*
Affiliation:
Department of Otolaryngology, Waikato Hospital, Hamilton, New Zealand Waikato Clinical Campus, University of Auckland, New Zealand Waikato Institute of Surgical Education and Research, Hamilton, New Zealand
*
Author for correspondence: Dr Andrew Wood, Waikato Clinical Campus, University of Auckland, Auckland, New Zealand Email: andrew.wood@auckland.ac.nz
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Abstract

Objective

Practices vary regarding the timing of discharge after sinonasal surgery. This study aimed to examine the cost-effectiveness of same-day discharge compared to next-day discharge after sinonasal surgery.

Methods

A retrospective single-surgeon audit of sinonasal surgery over a 12-month period was performed. Demographic and clinical details, including distance travelled home, timing of discharge, hospital re-presentation, and complications, were collected and compared between the same-day discharge and next-day discharge groups. A cost-effectiveness analysis was performed.

Results

A total of 181 patients were identified; 117 underwent day-case surgery, of which 6 re-presented to the emergency department. Sixty-four patients stayed overnight after surgery, and six of those patients re-presented to the emergency department. The per patient cost was $3262 for day-case sinonasal surgery and $5050 for those admitted overnight after surgery (p < 0.001).

Conclusion

Routine same-day discharge after sinonasal surgery is achievable, safe and cost-effective.

Keywords

Chronic DiseaseRhinitisSinusitisTreatment Outcome
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 4 , April 2021 , pp. 341 - 343
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr A Wood takes responsibility for the integrity of the content of the paper

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