Accelerated Recovery After Brachial Plexus Surgery: A Pilot Study of Same-Day Discharge

Area of Science:

• Neurosurgery
• Orthopedic Surgery
• Trauma Surgery

Background:

• Traumatic brachial plexus injuries significantly impact shoulder and elbow function.
• Nerve transfer procedures offer a reconstructive option for these complex injuries.

Purpose of the Study:

• To assess the feasibility and safety of same-day discharge after adult traumatic brachial plexus nerve surgery.
• To evaluate short-term outcomes including complications, pain, readmissions, and reoperations.

Main Methods:

• Retrospective analysis of 25 adult patients undergoing nerve transfers for brachial plexus injuries (2022-2023).
• All patients were discharged within 24 hours of admission.
• Outcomes included 90-day complications, pain scores, readmission, and reoperation rates.

Main Results:

• No major complications or reoperations occurred in the cohort.
• One patient (4%) was readmitted for pain management but discharged the same day.
• Same-day discharge was successfully implemented for all patients.

Conclusions:

• Same-day discharge following brachial plexus surgery is a safe and feasible option for carefully selected patients.
• This strategy may lead to decreased healthcare expenses and enhanced patient satisfaction.
• Further research can explore long-term outcomes and broader applicability.