Patient Safety and Suitability for Primary Cleft Lip Repair as Day Case Surgery - A Systematic Review and Meta-Analysis.

IF 1.2 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Cleft Palate-Craniofacial Journal Pub Date : 2025-01-01 Epub Date: 2023-09-05 DOI:10.1177/10556656231199643
Serena V Martin, Benedict Reed, Nefer Fallico
{"title":"Patient Safety and Suitability for Primary Cleft Lip Repair as Day Case Surgery - A Systematic Review and Meta-Analysis.","authors":"Serena V Martin, Benedict Reed, Nefer Fallico","doi":"10.1177/10556656231199643","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To perform a systematic review and meta-analysis to determine if day case cleft lip surgery has an impact on complications and 30-day readmission rate.</p><p><strong>Design: </strong>A systematic review was conducted using PRISMA guidelines. Databases included; PubMed, Science Direct, Ovid and Cochrane. Search terms; \"Day Case\", \"Day Care\", \"outpatient\", \"Ambulatory\" AND \"Cleft\", \"Cleft Lip\". Meta-analysis was performed using RevMan 5.</p><p><strong>Setting: </strong>Eligible study types included; randomised controlled trials, observational studies (prospective and retrospective) and case series.</p><p><strong>Patients/participants: </strong>Paediatric patients undergoing primary cleft lip repair.</p><p><strong>Interventions: </strong>Day case surgery versus inpatient admission post-operative.</p><p><strong>Main outcome measure(s): </strong>Primary outcome measure: Primary cleft lip repair performed as a day case in paediatric patients. Secondary outcome measures: 1. Complication rates and 30-day re-admission to hospital rate. 2. Patient suitability for day case surgery.</p><p><strong>Results: </strong>Ten papers with 13 804 patients undergoing primary cleft lip repair were included, 28% were discharged on the day of surgery (Range 17%-81%). There was no significant difference in complication rate between the inpatient and day case cohorts. There was a significant reduction in 30-day readmission rates in the day case cohort.</p><p><strong>Conclusions: </strong>This meta-analysis indicates there is no difference in complication rates for patients discharged on the day of surgery compared to those admitted overnight. Complications encountered were infrequent, non-life threatening and often occurred more than 24 h following discharge. There was an observed reduction in 30-day readmission rates for day-case patients. This is likely to represent a variation in baseline characteristics which deemed them suitable for day case surgery pre-operatively.</p>","PeriodicalId":55255,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"97-107"},"PeriodicalIF":1.2000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cleft Palate-Craniofacial Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10556656231199643","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/9/5 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0

Abstract

Objective: To perform a systematic review and meta-analysis to determine if day case cleft lip surgery has an impact on complications and 30-day readmission rate.

Design: A systematic review was conducted using PRISMA guidelines. Databases included; PubMed, Science Direct, Ovid and Cochrane. Search terms; "Day Case", "Day Care", "outpatient", "Ambulatory" AND "Cleft", "Cleft Lip". Meta-analysis was performed using RevMan 5.

Setting: Eligible study types included; randomised controlled trials, observational studies (prospective and retrospective) and case series.

Patients/participants: Paediatric patients undergoing primary cleft lip repair.

Interventions: Day case surgery versus inpatient admission post-operative.

Main outcome measure(s): Primary outcome measure: Primary cleft lip repair performed as a day case in paediatric patients. Secondary outcome measures: 1. Complication rates and 30-day re-admission to hospital rate. 2. Patient suitability for day case surgery.

Results: Ten papers with 13 804 patients undergoing primary cleft lip repair were included, 28% were discharged on the day of surgery (Range 17%-81%). There was no significant difference in complication rate between the inpatient and day case cohorts. There was a significant reduction in 30-day readmission rates in the day case cohort.

Conclusions: This meta-analysis indicates there is no difference in complication rates for patients discharged on the day of surgery compared to those admitted overnight. Complications encountered were infrequent, non-life threatening and often occurred more than 24 h following discharge. There was an observed reduction in 30-day readmission rates for day-case patients. This is likely to represent a variation in baseline characteristics which deemed them suitable for day case surgery pre-operatively.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
作为日间手术的初级唇裂修复术的患者安全性和适宜性 - 系统回顾和 Meta 分析。
目的进行系统回顾和荟萃分析,以确定日间唇裂手术是否对并发症和 30 天再入院率有影响:设计:采用 PRISMA 指南进行系统综述。数据库包括:PubMed、Science Direct、Ovid 和 Cochrane。检索词:"日间病例"、"日间护理"、"门诊"、"非住院 "和 "唇裂"、"唇裂"。使用 RevMan 5.Setting 进行 Meta 分析:符合条件的研究类型包括:随机对照试验、观察性研究(前瞻性和回顾性)和病例系列:干预措施:干预措施:日间手术与术后住院:主要结果测量干预措施:日间手术与术后住院。次要结果测量:1.并发症发生率和 30 天再次入院率。2.患者是否适合日间手术:共收录了10篇论文,13 804名患者接受了初级唇裂修复手术,28%的患者在手术当天出院(范围为17%-81%)。住院患者和日间手术患者的并发症发生率无明显差异。日间病例组的30天再入院率明显降低:这项荟萃分析表明,手术当天出院的患者与隔夜入院的患者在并发症发生率上没有差异。并发症并不常见,不会危及生命,且通常发生在出院后 24 小时以上。据观察,日间手术患者的 30 天再入院率有所下降。这可能是由于术前认为他们适合日间手术的基线特征存在差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
2.70
自引率
36.40%
发文量
215
期刊介绍: The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.
期刊最新文献
Three-Dimensional Evaluation of Alveolar Cleft Volume and Nasomaxillary Form in Patients with Unilateral Cleft Lip and Palate. Dermoid Cyst of the Hard Palate: Case Report and Review of the Literature. Long-Term Patient-Reported Outcomes in Internationally Adopted Children with Cleft Lip and Palate. Ultrasound Detection of Fetal Palate Development in the Early Stages of the Second Trimester and Its Clinical Application. Patient Safety and Suitability for Primary Cleft Lip Repair as Day Case Surgery - A Systematic Review and Meta-Analysis.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1