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Robot-assisted Partial Splenectomy
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641
Same-Day Discharge After Robotic-Assisted Sacrocolpopexy
Cassandra K Kisby1, Michael R Polin2, Anthony G Visco3
1From the Department of Obstetrics and Gynecology, Duke Hospital, Durham, NC.
Female Pelvic Medicine & Reconstructive Surgery
|March 1, 2018
Summary
Same-day discharge after robotic-assisted sacrocolpopexy (RA-SCP) is safe. This study found no increase in unplanned provider visits or postoperative phone calls for patients discharged the same day compared to those discharged later.
Area of Science:
- Urogynecology
- Minimally Invasive Surgery
- Health Services Research
Background:
- Robotic-assisted sacrocolpopexy (RA-SCP) is a common surgical procedure for pelvic organ prolapse.
- Optimizing patient recovery and discharge protocols is crucial for improving healthcare efficiency and patient satisfaction.
Purpose of the Study:
- To compare the rate of unplanned postoperative encounters between women discharged on the same day versus those discharged on postoperative day 1 or later after RA-SCP.
- To assess the safety and healthcare utilization associated with same-day discharge following RA-SCP.
Main Methods:
- Retrospective cohort study of 272 women undergoing RA-SCP.
- Comparison of two groups: same-day discharge versus discharge on postoperative day 1 or later.
- Primary outcome: unplanned provider visits (clinic, urgent care, ED, readmission) within 6 weeks post-surgery. Secondary outcomes: unplanned phone calls.
Main Results:
- No significant difference in unplanned provider visits between same-day discharge (18.8%) and later discharge (27.6%) groups (P=0.12).
- No differences observed in unplanned clinic visits, emergency department visits, or hospital readmissions.
- Logistic regression analysis did not reveal significant differences in unplanned provider visits or phone calls between the groups.
Conclusions:
- Same-day discharge after RA-SCP is a safe option.
- Discharging patients on the same day does not lead to increased healthcare utilization, including provider visits or postoperative phone calls.
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