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Same-day discharge after brain tumor resection: a prospective pilot study.

Frederic A Vallejo1, Daniel G Eichberg2, Alexis A Morell2

  • 1Department of Neurosurgery, University of Miami Miller School of Medicine Lois Pope Life Center, 1095 14th Terrace, Miami, FL, 33136, USA. Fav8@med.miami.edu.

Journal of Neuro-Oncology
|February 22, 2022
PubMed
Summary

Same day discharge for select brain tumor surgery patients is feasible and safe, reducing healthcare costs and patient risks. Careful patient selection and multidisciplinary team support are key to successful outpatient brain surgery outcomes.

Keywords:
Brain tumorNeuro-oncologyNeurosurgical outcomesOutpatient craniotomySame-day discharge

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Area of Science:

  • Neurosurgery
  • Outpatient Surgery
  • Quality Improvement

Background:

  • Outpatient brain surgery offers significant benefits, including improved patient well-being and reduced healthcare costs.
  • Same-day discharge protocols minimize patient exposure to hospital-acquired infections, thromboembolic events, and medical errors compared to inpatient stays.

Purpose of the Study:

  • To establish a quality outcomes database for patients undergoing brain tumor resection with same-day discharge.
  • To prospectively examine the outcomes of outpatient brain tumor surgery.

Main Methods:

  • A prospectively collected quality outcomes database was created.
  • Patient data from August 2020 to August 2021 for brain tumor resections with same-day discharge were analyzed.

Main Results:

  • Out of 334 patients, 37 met criteria for the outpatient protocol, with 32 successfully discharged the same day.
  • Five patients (14%) initially eligible for outpatient surgery required overnight admission.
  • No postoperative complications were reported at the two-week follow-up.

Conclusions:

  • Same-day discharge is a viable option for carefully selected patients undergoing brain tumor surgery.
  • A multidisciplinary team approach is crucial for successful outpatient brain tumor surgery.
  • Physicians must maintain a low threshold for hospital admission based on patient condition and history.