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COVID-19 as a Catalyst for Same Day Discharge After Minimally Invasive Hysterectomy.
- Source :
-
Journal of Gynecologic Surgery . Aug2023, Vol. 39 Issue 4, p170-176. 7p. - Publication Year :
- 2023
-
Abstract
- Objective: This study quantified the COVID-19 pandemic's impact on same-day discharges for minimally invasive hysterectomy and evaluated the effect on postoperative morbidity and health care use. Materials and Methods: This retrospective cohort study, from March 2018 to October 2021 at a single institution, included women older than age 18 who had laparoscopic, vaginal, or robotic-assisted hysterectomy by any gynecologic surgeon. Primary outcome was rate of same-day hospital discharge. Secondary measures were length of stay and rates of 30-day postoperative morbidity and health care use. Univariate and multivariable logistic regression analyses were conducted to evaluate associations between patients' characteristics and likelihood of same-day discharge. Results: There were 1608 women included, 896 in a prepandemic cohort and 712 in a postpandemic cohort. Surgeon subspecialty rates were similar between groups, but surgical approaches differed, with more laparoscopic procedures in the postpandemic cohort (pā=ā0.007). Case order and lengths, and concurrent procedures were not different between groups. Postpandemic patients were more likely to be discharged on the same day even after controlling for confounders in a multivariable regression (32% versus 54%, respectively; odds ratio: 2.78; pā<ā0.001). Rates of 30-day postoperative complications, transfusions, emergency department visits, readmissions, reoperations, and mortality were not significantly different. Conclusions: The COVID-19 pandemic was associated with increased same-day discharges without increases in 30-day postoperative complications. The data confirmed that same-day discharge following minimally invasive hysterectomy was safe for managing hospital constraints caused by the COVID-19 pandemic. (J GYNECOL SURG 39:170) [ABSTRACT FROM AUTHOR]
- Subjects :
- *HYSTERECTOMY
*MINIMALLY invasive procedures
*RETROSPECTIVE studies
*MANN Whitney U Test
*MEDICAL care use
*HOSPITAL admission & discharge
*DESCRIPTIVE statistics
*CHI-squared test
*AMBULATORY surgery
*ODDS ratio
*ENHANCED recovery after surgery protocol
*LOGISTIC regression analysis
*COVID-19 pandemic
*LONGITUDINAL method
Subjects
Details
- Language :
- English
- ISSN :
- 10424067
- Volume :
- 39
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Journal of Gynecologic Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 167370839
- Full Text :
- https://doi.org/10.1089/gyn.2023.0014