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Same-Day Discharge After Robotic-Assisted Sacrocolpopexy.
- Source :
-
Female pelvic medicine & reconstructive surgery [Female Pelvic Med Reconstr Surg] 2019 Sep/Oct; Vol. 25 (5), pp. 337-341. - Publication Year :
- 2019
-
Abstract
- Objective: The aim of the study was to compare unplanned postoperative encounters in women discharged same day versus later after robotic-assisted sacrocolpopexy (RA-SCP).<br />Methods: This is a retrospective cohort study of women who underwent RA-SCP at a tertiary care center January 2013 to September 2015. Women were divided into 2 cohorts based on their day of discharge: (1) same day or (2) postoperative day 1 (POD ≥ 1) or later. Our primary outcome was unplanned provider visits (clinic, urgent care, emergency department, or hospital readmission) during the 6 weeks after surgery. Secondary outcomes included unplanned postdischarge nurse or physician phone calls. Logistic regression models were created to control for potential confounders.<br />Results: Two hundred seventy-two women were included; 80 underwent same-day discharge versus 192 discharged POD 1 or later (187 on POD 1, 5 on POD 2). Women discharged same day were older (61.3 vs 58.5 years, P < 0.05), more likely to have a start time before noon (85% vs 67.6%, P < 0.01), received less intraoperative intravenous fluids (1153 mL vs 1536 mL, P < 0.01), had shorter procedures (237 vs 256 minutes, P < 0.01), and spent more time in the postanesthesia care unit (213 vs 158 minutes, P < 0.01). There were no differences in unplanned provider visits between women discharged same day versus later (18.8% vs 27.6%, P = 0.12). No differences were observed in unplanned clinic visits, emergency department visits, or readmissions. In logistic regression models, unplanned provider visits (odds ratio = 0.35, 95% confidence interval = 0.30-1.54) and phone calls (odds ratio = 0.69, 95% confidence interval = 0.54-2.58) were not significantly different between groups.<br />Conclusions: Same-day discharge after RA-SCP is safe and does not result in increased health care utilization (provider visits or postoperative phone calls).
- Subjects :
- Aged
Cohort Studies
Emergencies
Female
Gynecologic Surgical Procedures methods
Humans
Middle Aged
Retrospective Studies
Sacrum
Length of Stay statistics & numerical data
Patient Discharge
Patient Readmission statistics & numerical data
Postoperative Complications epidemiology
Robotic Surgical Procedures
Vagina surgery
Subjects
Details
- Language :
- English
- ISSN :
- 2154-4212
- Volume :
- 25
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Female pelvic medicine & reconstructive surgery
- Publication Type :
- Academic Journal
- Accession number :
- 29489556
- Full Text :
- https://doi.org/10.1097/SPV.0000000000000573