Analysis of Clinical Data of Elderly Patients in the Day Surgery Center of a Tertiary General Hospital from 2015 to 2022
Objectives The aim of this study is to analyze the case data of elderly patients treated at the day surgery center of a tertiary general hospital from 2015 to 2022.The goal is to provide a basis for the scientific and standardized management of elderly patients undergoing day surgery.Methods Case data of patients aged ≥60 years old who were admitted to the day surgery center of this hospital from January 1,2015 to December 31,2022 were collected.The basic situation of surgery,changes in surgical procedures,changes in anesthesia methods,combined chronic diseases,delayed discharge rate and transfer rate to specialist wards were analyzed.Results Within 8 years,a total of 6500 elderly patients(4010 males and 2490 females)received day surgery.The mean age was 67±5.53 years,with a maximum age of 91 years.Among them,4780 patients(73.53%)were aged 60-69 years.From 2015 to 2019,the number of hospitalizations showed a linear growth trend,with an average annual growth rate of 26.14%.The number of cases combined with chronic diseases increased from 20.79%in 2015 to 66.48%in 2020.Level 3 surgery increased from 8.29%in 2015 to 30.02%in 2022,and level 4 surgery increased from 1.17%in 2015 to 13.96%in 2022.General anesthesia procedures increased from 211(43.87%)in 2015 to 554(69.69%)in 2021.The delayed discharge rate was 41 cases(0.63%),and the postoperative transfer rate was 34 cases(0.52%).Conclusions Day surgeries for elderly patients are increasing in number and difficulty.The day surgery management model is also recommended for older patients.