Readmission Rates after Same-Day Discharge Compared with Postoperative Day 1 Discharge after Benign Laparoscopic Hysterectomy
| Autor: | Sherif A. El-Nashar, David Sheyn, Megan Billow, R.R. Pollard, Sangeeta T. Mahajan, Mary Duarte |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Hysterectomy Logistic regression Patient Readmission 03 medical and health sciences Postoperative Complications 0302 clinical medicine medicine Humans Postoperative Period 030212 general & internal medicine Laparoscopy Same day discharge 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Laparoscopic hysterectomy Obstetrics and Gynecology Retrospective cohort study General Medicine Odds ratio Cystoscopy Length of Stay Middle Aged Quality Improvement Patient Discharge Confidence interval Surgery Propensity score matching Female Epidemiologic Methods business |
| Zdroj: | Journal of Minimally Invasive Gynecology. 25:484-490 |
| ISSN: | 1553-4650 |
| DOI: | 10.1016/j.jmig.2017.10.013 |
| Popis: | Study Objective To determine if there is a difference in readmission rates after same-day discharge compared with postoperative day 1 discharges after laparoscopic hysterectomy. Design A retrospective cohort study with 1:2 propensity score matching (Canadian Task Force classification II-2). Setting American College of Surgeons National Surgical Quality Improvement Program database. Patients Women undergoing benign laparoscopic total or supracervical hysterectomy or laparoscopic-assisted vaginal hysterectomy with or without adnexal surgery between the years 2010 to 2015. Interventions Three thousand thirty-two low-risk women discharged on postoperative day 0 and 6064 women discharged on postoperative day 1 were included in the analysis. Measurements and Main Results The overall readmission rate was 1.8%; after same-day discharge, the readmission rate was 2.2%, and after postoperative day 1 discharge the readmission rate was 1.7% (p = .10). After logistic regression analysis, smoking (adjusted odds ratio [aOR] = 2.06; 95% confidence interval [CI], 1.49–2.88), nonwhite race (aOR = 1.53; 95% CI, 1.1007–2.14), and cystoscopy (aOR = 2.05; 95% CI, 1.49–2.82) were associated with an increased risk of readmission. Conclusion There was no statistically significant difference in readmission rates after laparoscopic hysterectomy between women discharged on the day of surgery or postoperative day 1. |
| Databáze: | OpenAIRE |
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