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Do Weekend Discharges Impact Readmission Rate in Patients Undergoing Pancreatic Surgery?
Rachel C Kim1, Stephanie E Schick1, Rodica I Muraru2
1Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
Summary
Weekend discharge after pancreatic surgery does not increase 30-day readmission rates. Careful clinical decisions allow safe weekend discharges, with outcomes similar to weekday discharges for patients undergoing pancreatectomy.
Area of Science:
- Surgical Oncology
- Gastroenterology
- Health Services Research
Background:
- Weekend readmissions are linked to higher mortality post-pancreatic resection.
- The impact of weekend discharge on patient outcomes after pancreatic surgery remains less understood.
Purpose of the Study:
- To investigate the effect of weekend discharge on the 30-day readmission rate following pancreatic surgery.
Main Methods:
- Retrospective review of 2042 patients undergoing pancreatectomy at a high-volume institution (2013-2021).
- Analysis using multivariable logistic regression to determine the association between weekend discharge and 30-day readmission.
- Exclusion of patients who died before discharge.
Main Results:
- 20.5% of patients were discharged on a weekend.
- Weekend discharge was not associated with increased 30-day readmission rates (14.8% vs. 14.8%, p=0.997).
- Factors independently associated with readmission included delayed gastric emptying and pancreatic fistula, not weekend discharge.
Conclusions:
- Patients can be safely discharged on weekends after pancreatic surgery.
- Clinical judgment in discharge decisions is key to maintaining patient safety and avoiding increased readmissions.
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