Same day discharge vs planned admission after surgical treatment for apical prolapse
Goal of the study
: Same-day discharge (SDD) after surgery is becoming increasingly common, with studies supporting the safety of this practice in gynecological surgeries. The purpose of this study was to compare the short-term outcomes of same-day discharge with planned admission in patients undergoing apical pelvic organ prolapse repair, through 30-day complications and care encounters. 30-day unforeseen health.
: Practice of female pelvic medicine and reconstructive surgery at a university-affiliated tertiary medical center.
: Patients with apical prolapse who underwent surgical treatment during the study period were eligible for inclusion. Excluded are patients under the age of 18, cases planned for SDD with an unexpected admission, cases with a planned open procedure, and those performed in association with another surgical department.
Measures and main results
: A total of 296 patients were included in the final analysis. One hundred and fifty-four patients had a planned admission (PA group) versus 142 who were discharged on the day of the operation (SDD group). There was no difference in reoperations, development of venous thromboembolism and blood transfusions between the two groups. Patients in the SDD group were more likely to have no postoperative complications (95% versus 88.3%, p=0.037). The number of unscheduled urogynecology office visits, urgent/immediate care visits, readmissions, or unscheduled phone calls was also similar between the two groups. There was a statistically significant difference observed in the mean emergency department (ED) visits (0.16 ± 0.40 in the PA group versus 0.06 ± 0.27 in the SDD group, p = 0.02 ); however, this number was low in both groups.
: This comparative study suggests that same-day discharge after apical prolapse repair is safe and can be considered for patients interested in this option.