Volume 19 Issue 8
Aug.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(8): 1265-1268
QIU Ling, LIU Chunxiang, ZHU Wei, ZHONG Wen, ZHEN Yuling, HAO Fengling. Analysis of risk factors for delayed discharge of patients undergoing day surgery for urinary stones[J]. Chinese Journal of General Practice, 2021, 19(8): 1265-1268. doi: 10.16766/j.cnki.issn.1674-4152.002036
Citation: QIU Ling, LIU Chunxiang, ZHU Wei, ZHONG Wen, ZHEN Yuling, HAO Fengling. Analysis of risk factors for delayed discharge of patients undergoing day surgery for urinary stones[J]. Chinese Journal of General Practice, 2021, 19(8): 1265-1268. doi: 10.16766/j.cnki.issn.1674-4152.002036
shu

Analysis of risk factors for delayed discharge of patients undergoing day surgery for urinary stones

doi: 10.16766/j.cnki.issn.1674-4152.002036
  • 1.

    Department of Urology, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong 510230, China

Funds:

 81800625

  • Received Date: 2020-09-07
    Available Online: 2022-02-16
    Abstract
  •   Objective  To explore the risk factors delayed discharge of patients undergoing day surgery for urinary stones.  Methods  The electronic medical records of 749 patients undergoing day surgery for urinary stones in the First Affiliated Hospital of Guangzhou Medical University in 2019 were retrospectively collected. Patients were divided into delayed discharge group (71 cases) and normal discharge group (678 cases). The general data, 1 hour postoperative vital signs and common hematological indexes were compared between the two groups. Logistic regression analysis was used to explore the risk factors of patients' delayed discharge.  Results  The incidence of delayed discharge of patients undergoing day surgery for urinary stones was 9.5%. Logistic regression analysis showed that age (OR=3.209, 95% CI: 1.621-6.352, P=0.001), PCNL treatment (OR=2.212, 95% CI: 1.290-3.793, P=0.004), temperature (OR=4.363, 95% CI: 1.967-9.682, P < 0.001), neutrophil ratio (OR=1.973, 95% CI: 1.156-3.370, P=0.013), hemoglobin (OR=2.776, 95% CI: 1.170-6.582, P=0.020) and serum potassium (OR=2.680, 95% CI: 1.162-6.177, P=0.021) were independent risk factor for patients' delayed discharge.  Conclusion  Patients with advanced age, undergoing PCNL, 1 hour postoperative temperature>38 ℃, neutrophil ratio>70%, hemoglobin < 90 g/L and hypokalemia have an increased risk of delayed discharge. Medical workers should focus on and respond in time to reduce the risk of day surgery and improve their quality and safety.

     

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