{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:53:39Z","timestamp":1776905619989,"version":"3.51.2"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2004,10,22]],"date-time":"2004-10-22T00:00:00Z","timestamp":1098403200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Ear Nose Throat Disord"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                        <jats:title>Background<\/jats:title>\n                        <jats:p>A readmission is classified as a patient necessitating readmission to hospital due to a post-operative complication following discharge. An overstay however, is classified as a patient having to stay longer than the planned duration in hospital (not having been discharged in the interim) due to a post-operative complication. This study aims to investigate patient-related factors that predispose to readmission or overstay and thus make recommendations to decrease the likelihood of readmission or overstay.<\/jats:p>\n                     <\/jats:sec><jats:sec>\n                        <jats:title>Method<\/jats:title>\n                        <jats:p>In this retrospective study 312 'day-case nasal procedures', were selected from a total cohort of 4274 ENT patients over a 17-month period. This sub-group was investigated for a range of demographic factors including, age, gender and ethnicity with regards to their relationship to readmission rates and overstay frequency and duration.<\/jats:p>\n                     <\/jats:sec><jats:sec>\n                        <jats:title>Results<\/jats:title>\n                        <jats:p>The rates were 2.88% and 9.62% for readmission and overstay respectively. The total number of days spent in hospital as a result of readmission was 27. Epistaxis was the leading cause for readmission\/overstay (28.9%) followed by high levels of post-operative pain preventing them from being discharged (23.7%). All procedures in this study had readmission rates that were below those recommended in the guidelines set by the Royal College of Surgeons of England. Women overstayed significantly longer (t = 1.65, p &lt; 0.05) than men.<\/jats:p>\n                     <\/jats:sec><jats:sec>\n                        <jats:title>Conclusions<\/jats:title>\n                        <jats:p>Suitable candidates for day-case ENT surgery highlighted by this study include healthy individuals between the ages of 20 and 60. Operating in the morning would increase the immediate post-operative recovery time, which may reduce the numbers of patients who complain of high levels of pain at the time of discharge. Procedures such as septorhinoplasty being performed routinely in the ambulatory setting require additional research into more effective methods of pain control. Standards need to be improved so that the causes of overstay and readmission are clearly identifiable in patient records.<\/jats:p>\n                     <\/jats:sec>","DOI":"10.1186\/1472-6815-4-2","type":"journal-article","created":{"date-parts":[[2004,10,27]],"date-time":"2004-10-27T06:42:49Z","timestamp":1098859369000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Readmission and overstay after day case nasal surgery"],"prefix":"10.1186","volume":"4","author":[{"given":"Gurminder","family":"Singh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"McCormack","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David R","family":"Roberts","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2004,10,22]]},"reference":[{"issue":"3","key":"7_CR1","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1046\/j.1365-2273.1999.00247.x","volume":"24","author":"RP Hogg","year":"1999","unstructured":"Hogg RP, Prior MJ, Johnson AP: Admission rates, early readmission rates and patient acceptability of 142 cases of day case septoplasty. Clin Otolaryngol. 1999, 24 (3): 213-5. 10.1046\/j.1365-2273.1999.00247.x.","journal-title":"Clin Otolaryngol"},{"key":"7_CR2","unstructured":"The NHS Plan \u2013 A plan for investment, A plan for reform (2000). HMSO, The Copyright Unit, St Clements House, 2-16 Colegate, Norwich NR3 1BQ. Fax: 01603 723000 or e-mail: copyright@hmso.gov.uk."},{"key":"7_CR3","unstructured":"King's College Hospital Study. [http:\/\/www.doh.gov.uk\/research\/rd3\/nhsrandd\/timeltdprogs\/psi\/COMMISS\/execut\/psi_1411.htm]"},{"key":"7_CR4","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1017\/S0022215100132955","volume":"110","author":"R Benson-Mitchell","year":"1996","unstructured":"Benson-Mitchell R, Kenyon G, Gatland D: Septoplasty as a day-case procedure \u2013 a two centre study. J Laryngol Otol. 1996, 110: 129-31.","journal-title":"J Laryngol Otol"},{"key":"7_CR5","doi-asserted-by":"publisher","first-page":"1034","DOI":"10.1017\/S0022215100139271","volume":"111","author":"P Nieminen","year":"1997","unstructured":"Nieminen P, Silvola J, Aust R, Stenfors LE: Nasal septal surgery as an out-patient procedure. J Laryngol Otol. 1997, 111: 1034-7.","journal-title":"J Laryngol Otol"},{"key":"7_CR6","doi-asserted-by":"publisher","first-page":"614","DOI":"10.1017\/S0022215100130853","volume":"109","author":"V Srinivasan","year":"1995","unstructured":"Srinivasan V, Arasaratnam RB, Jankelowitz GA: Day-case septal surgery under general anaesthesia and local anaesthesia with sedation. J Laryngol Otol. 1995, 109: 614-7.","journal-title":"J Laryngol Otol"},{"key":"7_CR7","volume-title":"The Journal of One-Day Surgery","author":"RA Agha","year":"2003","unstructured":"Agha RA, Heaton SR, Roberts DR: Patient satisfaction with day case septoplasty and septorhinoplasty. 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J Laryngol Otol. 1999, 113 (12): 1072-5.","journal-title":"J Laryngol Otol"},{"key":"7_CR10","doi-asserted-by":"publisher","first-page":"887","DOI":"10.1136\/bmj.302.6781.887","volume":"302","author":"R Fitzpatrick","year":"1991","unstructured":"Fitzpatrick R: Surveys of patient satisfaction: important general considerations. B M J. 1991, 302: 887-9.","journal-title":"B M J"},{"issue":"5","key":"7_CR11","first-page":"327","volume":"82","author":"S Ganesan","year":"2000","unstructured":"Ganesan S, Prior AJ, Rubin JS: Unexpected overnight admissions following day-case surgery: an analysis of a dedicated ENT day care unit. 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