Analysis of unanticipated admission after outpatient anesthesia

Kim, Tae Kwane; Kim, Yee Suk

Clinical Research

General Article

Anesthesia and Pain Medicine 2010;5(2):169-172.
Published online April 30, 2010.

Analysis of unanticipated admission after outpatient anesthesia

Department of Anesthesiology and Pain Medicine, Bucheon St. Mary's Hospital, The Catholic University of Korea, Bucheon, Korea. knabi_2000@yahoo.co.kr

Abstract

BACKGROUND
Outpatient anesthesia is becoming more universal because of patient comfort and reduced health care cost. But unanticipated admission after outpatient anesthesia poses patient discomfort and increases cost. We investigated past medical records to evaluate the incidence and the causes of unanticipated admission after outpatient anesthesia.
METHODS
Total number of outpatient anesthesia were 1268 patients between November 2007 and June 2009. Medical records were retrospectively analyzed about 35 patients who admitted unexpectedly.
RESULTS
The overall mean rates of admissions during the study period was 2.8 percent. The principal reasons for admissions were observation, surgery related admissions, medical disease, wish of patients and anesthesia related admissions.
CONCLUSIONS
The incidence of unanticipated admission was 2.8%, department of general surgery had the highest admission rate and observation was the most common cause of unanticipated admission.

Key Words: Cause, Incidence, Outpatient anesthesia, Unanticipated admission