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Int. braz. j. urol ; 33(3): 330-338, May-June 2007. tab
Artigo em Inglês | LILACS | ID: lil-459855

RESUMO

OBJECTIVE: The literature lacks of studies on postoperative outcomes after urological ambulatory surgery. Our study aims to identify parameters associated with postoperative complications within 30 days after ambulatory urological surgery. MATERIALS AND METHODS: Adjusted and unadjusted comparisons between clinical features and postoperative outcome (complicated and uncomplicated). RESULTS: Postoperative course was complicated in 5 percent of the patients. Discharge schedule was not completed in 1.1 percent while unplanned visits resulted in admission in 0.5 percent. Multivariate analyses could only confirm the independent effect of type of anesthesia and diagnosis-related group (DRG) relative weight. CONCLUSIONS: Ambulatory urological surgery can be safe in terms of postoperative complications. In the present study surgery under general anesthesia, or a higher DRG relative weight procedure, increased the risk of complications compared to surgery under regional or local anesthesia or lower DRG relative weight operations. Patients scheduled for general anesthesia or undergoing complex urological procedures should be warned about an increased risk of postoperative incidents and/or readmission.


Assuntos
Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Procedimentos Cirúrgicos Ambulatórios/efeitos adversos , Anestesia/métodos , Complicações Pós-Operatórias , Readmissão do Paciente/estatística & dados numéricos , Procedimentos Cirúrgicos Urológicos/efeitos adversos , Anestesia/efeitos adversos , Grupos Diagnósticos Relacionados , Análise Multivariada , Prognóstico , Estudos Retrospectivos , Fatores de Risco
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