Original Article

One-day hospitalization in oral surgery: a 2-year comparative study

¹ Hôpitaux de Paris, France
² Functional Unit of Oral Surgery and IPES, Hôpital Max Fourestier, Centre hospitalier de Nanterre, France
³ Cardiology Service, Hôpital Max Fourestier, Centre hospitalier de Nanterre, France
⁴ Diabetology Service, Hôpital Max Fourestier, Centre hospitalier de Nanterre, France
⁵ Quality and Risk Delegation, Hôpital Max Fourestier, Centre hospitalier de Nanterre, France

^* Correspondence: bayet.kinz@gmail.com

Received: 8 May 2017
Accepted: 1 August 2017

Abstract

Introduction: The increasing number of cardiovascular and/or neurological patients with polypathologic backgrounds has led practitioners to adapt the technical platform. The objective is to evaluate the indications of one-day hospitalization (ODH) in oral surgery set up in 2013 in the Max Fourestier Hospital (Nanterre), a comparative prospective study is carried out in 2014 and 2015. Material and methods: The evaluation criterion is the rate (%) of local or general perioperative complications requiring intervention or full hospitalization of patients at risk for oral surgery with ODH. Results: Sixty-eight interventions were performed, mainly dental extractions, root planning and biopsies. 52% of patients were women. Cardiovascular diseases (36%) were the majority. 20.58% of the included patients had a complication taken up by the practitioner or managed by the day hospitalization service. This rate of complications was statistically significantly different (χ² = 9.89, P = 5%, NDF = 1) from the control group (3.80%). Discussion: The highest complication rate in polypathologic patients, confirms the indications of ODH. No conversion to full hospitalization was necessary thus this study shows that ODH allows a safe intake taking charge avoiding a full hospitalization of higher cost.