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Effect of length of hospital stay on infection and readmission after minimally invasive hysterectomy
Author(s) -
Schiff Lauren D.,
Voltzke Kristin J.,
Strassle Paula D.,
Louie Michelle,
Carey Erin T.
Publication year - 2019
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.12812
Subject(s) - medicine , hysterectomy , odds ratio , retrospective cohort study , demographics , logistic regression , urinary system , cohort , surgery , medical record , hospital discharge , surgical site infection , general surgery , demography , sociology
Objective To assess the effect of length of hospital stay on postoperative outcomes after minimally invasive hysterectomy. Methods A retrospective cohort analysis was conducted of women who underwent minimally invasive hysterectomy (vaginal or laparoscopic) for benign conditions between January 1, 2014 and December 31, 2016, using the American College of Surgeons National Surgical Quality Improvement Program database. Patient information and 30‐day outcomes were compared using multivariable logistic regression after adjusting for patient demographics and medical and procedure variables. Results The analysis included 31 347 patients. Women discharged the day after surgery were more likely to be African‐American, older, have prior abdominal surgery, and a higher ASA classification. Prevalence of organ space infection and readmissions were lower in the same day discharge group. No differences between same‐ and next‐day discharge were found for surgical site infection or urinary tract infection (adjusted odds ratios ( aOR s) 0.83 (95% [ CI ] 0.65–1.07; P =0.156) and 0.85 (95% CI 0.68–1.06; P =0.151), respectively). Same‐day hospital discharge was associated with a reduced chance of readmission ( aOR =0.68, 95% CI 0.54–0.87; P =0.002). Conclusion Same‐day hospital discharge after minimally invasive hysterectomy lowered the risk of readmission and did not increase the risk of postoperative complications.