[Ambulatory versus inpatient laparoscopy: decision aids for choice of management].
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This retrospective study compared inpatient and outpatient gynecological laparoscopy patients, finding higher outpatient satisfaction and identifying distinct demographic, diagnostic, and decision-making factors for each management type.
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Abstract
319 Patients are retrospectively competed, which underwent an inpatient or outpatient gynecological laparoscopy in 1992. Equality exists for martial status, education degree, nationality, anesthesiological risk and social structure. Outpatients are older, more rarely private assured, more often abdominal preoperated, have more children and live closer to the providing clinic. The satisfaction with the chosen medical care was outpatiently higher than inpatiently (97% vs 86%). In this context hesitation of security, quality of care and involvement at home are important. The inpatient group is characterized by patients with infertility, endometriosis and extrauterine gravidity, distance to employment and intensity of troubles have been important for the decision of medical providing. Outpatients were less anxious, sterilization and adhesions were main diagnoses. Here decisive factors for the choice of medical care have been care requiring relatives and financial aspects. By mean of these characteristics predictors are diverted for both kinds of care for being help to the advising doctor.
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- europepmc
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