Overnight Admission of Outpatient Strabismus Patients

  • Sherwin J. Isenberg
  • Leonard Apt
  • Sue Yamada
Chapter

Abstract

The trend to outpatient strabismus surgery prompted us to determine the frequency and reasons for postoperative overnight hospital admission. In one year, 303 outpatient strabotomies were performed at the Jules Stein Eye Institute on patients over 15 months old. Twenty-four (7.9%) were admitted overnight post-operatively. The 160 adults did not have a significantly different postoperative admission rate than the 143 children (p=0.14). Compared with controls, those admitted were older (37 vs 20.5 years), and had a longer duration of anesthesia (145 vs 116 min) and surgery (104 vs 75 min) p < 0.01 for each. The time of day that surgery commenced and the use of perioperative medications were not causative factors. The most frequent reasons for postoperative admission were nausea (38%) despite prophylaxis and the use of bilateral patches (16%). To minimize postoperative admissions, better strategies should be developed to decrease the frequency of significant postoperative nausea, the duration of surgery and anesthesia, and, if possible, the use of bilateral patches.

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Copyright information

© Macmillan Publishers Limited 1990

Authors and Affiliations

  • Sherwin J. Isenberg
  • Leonard Apt
  • Sue Yamada

There are no affiliations available

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