Factors Associated with the Success of One-Day Surgery: A Retrospective Study in Ramathibodi Chakri Naruebodindra Hospital
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Abstract
One-Day Surgery (ODS) is an increasing and popular treatment option in the
public health around the world due to its efficiency and cost-effectiveness.
Discharge without complications and avoiding unplanned hospitalizations are the
aims of ODS.
This study investigated related factors of successful ODSs among 178 patients
who underwent an ODS at Ramathibodi Chakri Naruebodindra Hospital from
1 January 2022 to 30 September 2024. Descriptive statistics were used to analyze
the data as follows: the frequency, percentage, mean, and standard deviation.
Fisher’s exact test and chi-squared test were employed to determine
associations between variables and ODS success rates. The results showed that a
total of 150 patients (84.27%) had a successful ODS, and the success-related
factors were the administration of multimodal analgesia (p = .008), muscle
relaxants (p = .009), prophylaxis postoperative nausea and vomiting (p = .015),
type of anesthesia (p < .001) and ASA classification (p = .023). In conclusion,
these findings emphasize the importance of perioperative management protocol
by implementing targeted pain strategy and PONV control to optimize ODS
success rates and resource utilization.
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