Portal de Periódicos da CAPES

Feasibility and economic impact of same-day discharge for women who undergo laparoscopic hysterectomy

2012; Elsevier BV; Volume: 207; Issue: 5 Linguagem: Inglês

10.1016/j.ajog.2012.09.014

1097-6868

Maria B. Schiavone, Thomas J. Herzog, Cande V. Ananth, Elizabeth Ty Wilde, Sharyn N. Lewin, William M. Burke, Yu‐Shiang Lu, Alfred I. Neugut, Dawn L. Hershman, Jason D. Wright,

Surgical Simulation and Training

We examined the use, safety, and economic impact of same-day discharge for women undergoing laparoscopic hysterectomy.We identified women in the Perspective database who underwent laparoscopic hysterectomy from 2000 through 2010. Discharge was classified as same-day, 1 day, and ≥2 days. Multivariable models were used to examine predictors of same-day discharge, reevaluation, and cost.Among 128,634 women, 34,070 (26.5%) were discharged on the day of surgery. Same-day discharge increased from 11.3% in 2000 to 46.0% by 2010 (P < .0001). The rate of reevaluation within 60 days was 4.0% for those discharged same day, 3.6% after a 1-day stay, and 5.1% for patients whose stay was ≥2 days (P < .0001). In a multivariable model, patients discharged on postoperative day 1 were less likely to require reevaluation (risk ratio, 0.89; 95% confidence interval, 0.82-0.96), but costs were $207 (95% confidence interval, $179-234) greater.Same-day discharge after laparoscopic hysterectomy is safe and associated with decreased cost.