Related Experiment Video
Updated: Jan 15, 2026
Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
Published on: August 19, 2025
Association of Living Alone and Same-Day Discharge After Hysterectomy for Benign Gynecologic Indications
Abdelrahman Yousif1, Mohanad Elchouemi1, Brandon Godinich1
1Department of Obstetrics and Gynecology and the Paul L. Foster School of Medicine, Texas Tech Health El Paso, El Paso, Texas.
Objective:
To evaluate the association between social support status (living alone vs living with others) and same-day discharge rates among patients undergoing hysterectomy for benign indications.
Methods:
We conducted a retrospective cohort study that used data from the American College of Surgeons National Surgical Quality Improvement Program 2021-2022 Participant Use File. Patients undergoing hysterectomy for benign indications were identified based on Current Procedural Terminology and International Classification of Diseases, Tenth Revision codes. The primary exposure was social support status, categorized as "Lives Alone" or "Lives with Others"; the primary outcome was same-day discharge, defined as discharge on the calendar day of surgery. Covariates included age, body mass index (BMI), race, ethnicity, diabetes, hypertension, surgical approach, and operative time. Multivariable logistic regression was performed to assess the association between living alone and same-day discharge, adjusting for relevant clinical and demographic factors.
Results:
A total of 1,615 patients were included, with 30% living alone and 70% living with others. Overall, 26% of patients had same-day discharge. Same-day discharge occured less frequently among patients living alone (22%) compared with those living with others (28%) (odds ratio [OR] 1.3; P=.02; CI, 1.0-1.7). In multivariable analysis, living alone was associated with 32% higher odds of overnight stay compared with living with others (OR 1.3; 95% CI, 1.0-1.7; P=.047). Surgical approach was a strong predictor of discharge outcomes, with laparoscopic hysterectomy (OR 0.4; 95% CI, 0.3-0.6) associated with reduced odds of overnight stay compared with vaginal hysterectomy. Operative time more than 180 minutes was associated with a nonsignificant trend towards increased overnight stay (OR 1.2; 95% CI, 0.8-1.5).
Conclusion:
Living alone is associated with lower odds of same-day discharge after hysterectomy for benign indications, independent of clinical and demographic characteristics. These findings underscore the need to consider social support during preoperative planning to optimize discharge outcomes. Strategies to enhance home support may facilitate same-day discharge among patients living alone.
More Related Videos
12:45Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
06:52Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Related Concept Videos
01:31Discharge Summary Forms
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
01:29Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...