Throughout the United States, pediatric patients undergoing ambulatory surgery enter the operating room and are discharged earlier in the day than are adults

Franklin Dexter, Richard H. Epstein, Luis Ignacio Rodriguez

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Background: Previously it was shown that greater minutes that pediatric surgical cases start later than scheduled were associated with more parents’ complaints regarding anesthesiologists’ care. Cases starting later in the day have less reliable start times. Thus, starting pediatric cases earlier in the surgical day would result in less tardiness of starts and fewer complaints. The objective of the current study was to evaluate start times and the corresponding durations of workdays nationally for outpatient surgery. Methods: The current cohort study used the United States’ National Hospital Ambulatory Medical Care Survey (NHAMCS), which includes outpatient surgery performed at hospitals and unaffiliated freestanding surgery centers. The data were limited to surgical cases with an anesthetic administered by an anesthesiologist and/or nurse anesthetist. Patients were considered pediatric if age ≤14 years. Results: Pediatric cases started on average at 09:34, 57 (SE 11) minutes earlier than for adults (P < 0.0001). By 12:00, 77% of OR case time was complete, 12% (4%) greater than for adults (P = 0.0021). The average time for a pediatric patient to be discharged was 11:27, 82 min (17 min) earlier than for adults (P < 0.0001). Conclusions: These national data can be as representative of policies in place regarding the sequencing of pediatric patients’ OR start times when adult and pediatric patients are scheduled in the same ORs.

Original languageEnglish (US)
Article number100076
JournalPerioperative Care and Operating Room Management
Volume16
DOIs
StatePublished - Sep 2019
Externally publishedYes

Keywords

  • Ambulatory surgical procedures
  • Anesthesiology
  • Economics
  • Operating rooms
  • Postanesthesia nursing
  • Statistics and numerical data
  • Supply and distribution

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine
  • Medical–Surgical
  • Anesthesiology and Pain Medicine

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