Application of ambulatory surgery in simple cataract patients

Objective To explore the effect of ambulatory surgery on cataract patients and provide basis for optimal cataract surgery mode.Methods 160 cataract patients without complications were selected and randomly divided into ambulatory surgery group (n =80) and hospitalization surgery group (n =80).The patients of the ambulatory surgery group completed their examinations in the outpatient section before they made an appointment and admitted for operation and were discharged in 24 h after surgery.The patients of the hospitalization surgery group completed their examinations after admission and then waited for the surgical arrangement,and they were kept for observation for a few days before discharge.Days on the waiting list,length of stay and medical cost were compared between the two groups.Results Days on the waiting list was 18.0 d in the hospitalization surgery group and 1.2 d in the ambulatory surgery group.Length of stay was (5.15 ± 1.36) d,( 1.00 ± 0.00) d,respectively.The difference was statistically significant( t =27.286,P ＜ 0.01 ).Medical cost of the hospitalization surgery group (6901.72 ± 392.43 ) yuan was higher than the ambulatory surgery group (6499.13 ± 134.05 ) yuan,and the difference was statistically significant (t =8.683,P ＜ 0.01 ).Conclusions Ambulatory surgery on catarans without complications can decrease medical cost and length of stay,and can be the preferred treatment. Key words: Cataract; Treatment effect; Ambulatory surgery