Understanding Patient Interest and Preferences for Same-Day Discharge After Minimally Invasive Hysterectomy

2021 ◽  
Author(s):  
Lauren C. Westbay ◽  
William Adams ◽  
Sarah A. Wagner ◽  
Scott C. Graziano ◽  
Alison Dixon ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Same Day Discharge ◽  
Minimally Invasive Hysterectomy

Predictors of same‐day discharge after minimally invasive hysterectomy for benign indications

2021 ◽  
Author(s):  
Abdelrahman AlAshqar ◽  
Brian Wildey ◽  
Golsa Yazdy ◽  
Metin E. Goktepe ◽  
Gokhan S. Kilic ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Same Day Discharge ◽  
Minimally Invasive Hysterectomy

scholarly journals Can We Predict Same Day Discharge after Minimally Invasive Hysterectomy?

2020 ◽  
Vol 27 (7) ◽  
pp. S99
Author(s):  
J. Hayek ◽  
A. Davidov ◽  
M. Mowzoon ◽  
S. Fahmy ◽  
S. Demissie
Keyword(s):  
Minimally Invasive ◽  
Same Day Discharge ◽  
Minimally Invasive Hysterectomy

scholarly journals Predictors of Same-Day Discharge after Minimally Invasive Hysterectomy

2020 ◽  
Vol 27 (7) ◽  
pp. S47-S48
Author(s):  
J.R. Kohn ◽  
M.E. McMahon ◽  
A.S. Frost ◽  
A. Tambovtseva ◽  
M.F. Hunt ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Same Day Discharge ◽  
Minimally Invasive Hysterectomy

Safety of same-day discharge for minimally invasive hysterectomy for endometrial cancer

2019 ◽  
Vol 221 (3) ◽  
pp. 239.e1-239.e11 ◽  
Author(s):  
Aaron M. Praiss ◽  
Ling Chen ◽  
Caryn M. St Clair ◽  
Ana I. Tergas ◽  
Fady Khoury-Collado ◽  
...  
Keyword(s):  
Endometrial Cancer ◽  
Minimally Invasive ◽  
Same Day Discharge ◽  
Minimally Invasive Hysterectomy

Factors Associated With Unplanned Admission in Patients Intended for Same Day Discharge After Minimally Invasive Hysterectomy for Endometrial Cancer

2021 ◽  
pp. 155335062110418
Author(s):  
Ji Son ◽  
Thang Tran ◽  
Meng Yao ◽  
Chad M. Michener
Keyword(s):  
Endometrial Cancer ◽  
Minimally Invasive ◽  
Operative Time ◽  
Gynecologic Oncology ◽  
Multivariable Analysis ◽  
Unplanned Admission ◽  
Pain Scores ◽  
Same Day Discharge ◽  
Comorbidity Index ◽  
Minimally Invasive Hysterectomy

Objectives. To identify factors that lead to successful same-day discharge compared with unplanned and planned admission after minimally invasive hysterectomy for endometrial cancer. Methods. Patients undergoing laparoscopic or robotic hysterectomy for endometrial cancer between 2016 and 2019 were retrospectively reviewed. 3 groups were created: same-day discarge (SDD), unplanned admission (UA), and planned admission(PA). Demographic/perioperative factors and encounters after discharge were compared. A multivariable logistic regression was performed. Results. 262 patients were included. By year, the success of SDD increased from 59.1% to 82.5%. Patients who underwent SDD compared with admission were younger (62.2 vs 66.2, P = .003) and had a lower Charlson Comorbidity Index (4 vs 5, P < .001). BMI was not significant. Comparing SDD and UA, shorter operative time (100.3 min vs 130.6 min, P = .037) was associated with SDD. Postoperative pain scores were not significant (3.8 vs 4.7, P = .086). The rate of unscheduled encounters within 30 days of discharge was not significantly different. On multivariable analysis, the odds of SDD decreased by 4% with each 1-year increase in age (OR .96, P = .017). Each 1-minute increase in operative time decreased the odds of SDD by 2% (OR .98, P < .001). Intraoperative acetaminophen (OR 2.78, P = .003) and ketorolac (OR 2.27, P = .031) were predictive of SDD. Conclusion. SDD can be safely incorporated into clinical practice in gynecologic oncology patients undergoing minimally invasive hysterectomy, even for patients older than previously reported. Shorter operative time was associated with SDD. The role of perioperative acetaminophen and ketorolac should be further investigated.

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