IJSR - International Journal of Scientific Research

Dr. Jigyasa Shahani

Volume : VII, Issue : IX, September - 2018

COMPARISON OF CRITERIA BASED DISCHARGE SYSTEM AND TIME BASED DISCHARGE SYSTEM FOR DISCHARGING PATIENTS UNDERGOING MINOR SURGERIES.

Dr. Jigyasa Shahani

Abstract :

Thisstudy primarily compares criteriaâ€‘based discharge versus time based discharge methods in moving patients through PostAnesthesiaCare Unit, and other nonâ€‘clinical factors causing delay in shifting.150 patients scheduled for elective minor surgeriesunder general anaesthesia were studied. Modified Aldrete’s score (CBD time) in PACU were recorded. Patients were scheduled to discharge at 60 min based on TBD method. The mean CBD time and actual discharge time from PACU were statistically compared with TBD time.TBD time (60 min) was compared with the mean CBD time (10.70 ± 2.56 min) and actual discharge time (79.75 ± 12.98 min), which were found to be statistically significant. Primarily,anaesthesiologists’ busy schedule was accountable for delay in discharge.Thestudy concluded that in patients undergoing ambulatory minor surgeries, discharge times basedon Criterion Based Discharge scoring systems such as modified Aldrete’s score are significantly lower in PACU Phase I as compared to the traditional Time Based Discharge method.