Effect of whole-process optimization of day surgery in rotator cuff repair under arthroscopy

Objective To observe the application effect of whole-process optimization of day surgery in rotator cuff repair under arthroscopy.

Methods A total of 140 patients with arthroscopic rotator cuff repair were selected as study objects, and were randomly divided into experimental group(day surgery of whole-process optimization, n=70) and control group(routine inpatient surgical protocol, n=70). The average hospitalization days, hospitalization expenses, postoperative complication, shoulder joint rehabilitation effect of the two groups were compared.

Results The average hospital stay and preoperative bed stay time of the experimental group were shorter than those of the control group (P < 0.05); the total hospitalization cost and hospitalization cost of the experimental group were lower than those of the control group (P < 0.05); the total incidence of postoperative complications in the experimental group was lower than that in the control group, and the total incidence of postoperative adverse reactions was higher than that in the control group, but the differences were not statistically significant (2.86% versus 4.29%, 15.71% versus 12.86%, respectively, P>0.05). At 1 month, the experimental group had larger forward flexion, abduction, and neutral external rotation motion in the observation group compared to those in the control group(P < 0.05); at 3 months, the experimental group had larger forward flexion, abduction, neutral external rotation motion and lateral internal rotation in the observation group compared to those in the control group(P < 0.05); at 6 months after operation, forward flexion, abduction, and neutral external rotation motion, Constant score and ASES score in the experimental group showed no significant differences between two groups (P>0.05). The pain scores of the experimental group were lower than those of the control group at 1 month, 3 and 6 months after operation (P < 0.05). The educational awareness rate and satisfaction rate of the experimental group were 92.86% and 97.14%, respectively, which were higher than 84.29% and 90.00% of the control group (P < 0.05).

Conclusion The whole-process optimization of day surgery for patients with arthroscopic rotator cuff repair based on integration of multi-disciplinary medical and nursing resources can effectively shorten hospitalization time, reduce hospitalization costs, and accelerate their recovery.