An alternative outpatient care model: Postoperative guest suite-based care

Rachel E. Hein, Ryan S. Constantine, Robert Cortez, Travis Miller, Kendall Anigian, Jerzy Lysikowski, Kathryn Davis, Gary Reed, Andrew Trussler, Rod J. Rohrich, Jeffrey M. Kenkel

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: Patients recovering from outpatient surgery are responsible for managing their pain, managing ambulation, and even implementing thromboembolism prophylaxis after discharge. Because of the importance of postoperative care to prevent complications, a model of care that helps a patient transition to independent self-care could provide optimal results. Objectives: The authors investigated the safety and morbidity rate for patients who underwent body contouring procedures and overnight care at an attached, nurse-staffed guest suite facility. Methods: A retrospective review was conducted of 246 patients who underwent major body contouring and who stayed at least 1 night in the guest suite facility. Major complications included a return to the operating room within 48 hours, major wound infection, and unplanned hospitalization within 48 hours. Minor complications included any postsurgical effect necessitating unplanned physician intervention within the first 30 days. Univariate analyses correlating patient characteristics and complication rates were conducted, as well as comparison of complication rates among same procedures reported in the literature. Results: The complication rate (major and minor complications) was 25.20%. Surgical site infection occurred in 8.13% of patients. The most common wound complication was erythema around the incision site (12.20%). Death, deep vein thrombosis, or pulmonary embolism did not occur. Comparison with relevant results reported in the literature indicated a significant reduction in the occurrence of postoperative venous thromboembolism. Conclusions: Patient education after surgery is essential to healing and adequate care. The guest suite model provides improved care and education for the patient and family postsurgery by addressing some of the known risk factors of plastic surgery.

Original languageEnglish (US)
Pages (from-to)1225-1231
Number of pages7
JournalAesthetic Surgery Journal
Volume34
Issue number8
DOIs
StatePublished - Nov 8 2014

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Ambulatory Care
Patient Education
Surgical Wound Infection
Patient Transfer
Postoperative Care
Thromboembolism
Venous Thromboembolism
Wound Infection
Plastic Surgery
Operating Rooms
Erythema
Self Care
Ambulatory Surgical Procedures
Pulmonary Embolism
Venous Thrombosis
Walking
Hospitalization
Nurses
Morbidity
Physicians

Keywords

  • body contouring
  • outpatient
  • outpatient surgery
  • patient safety

ASJC Scopus subject areas

  • Surgery

Cite this

Hein, R. E., Constantine, R. S., Cortez, R., Miller, T., Anigian, K., Lysikowski, J., ... Kenkel, J. M. (2014). An alternative outpatient care model: Postoperative guest suite-based care. Aesthetic Surgery Journal, 34(8), 1225-1231. https://doi.org/10.1177/1090820X14546161

An alternative outpatient care model : Postoperative guest suite-based care. / Hein, Rachel E.; Constantine, Ryan S.; Cortez, Robert; Miller, Travis; Anigian, Kendall; Lysikowski, Jerzy; Davis, Kathryn; Reed, Gary; Trussler, Andrew; Rohrich, Rod J.; Kenkel, Jeffrey M.

In: Aesthetic Surgery Journal, Vol. 34, No. 8, 08.11.2014, p. 1225-1231.

Research output: Contribution to journalArticle

Hein, RE, Constantine, RS, Cortez, R, Miller, T, Anigian, K, Lysikowski, J, Davis, K, Reed, G, Trussler, A, Rohrich, RJ & Kenkel, JM 2014, 'An alternative outpatient care model: Postoperative guest suite-based care', Aesthetic Surgery Journal, vol. 34, no. 8, pp. 1225-1231. https://doi.org/10.1177/1090820X14546161
Hein RE, Constantine RS, Cortez R, Miller T, Anigian K, Lysikowski J et al. An alternative outpatient care model: Postoperative guest suite-based care. Aesthetic Surgery Journal. 2014 Nov 8;34(8):1225-1231. https://doi.org/10.1177/1090820X14546161
Hein, Rachel E. ; Constantine, Ryan S. ; Cortez, Robert ; Miller, Travis ; Anigian, Kendall ; Lysikowski, Jerzy ; Davis, Kathryn ; Reed, Gary ; Trussler, Andrew ; Rohrich, Rod J. ; Kenkel, Jeffrey M. / An alternative outpatient care model : Postoperative guest suite-based care. In: Aesthetic Surgery Journal. 2014 ; Vol. 34, No. 8. pp. 1225-1231.
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