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30-day unanticipated healthcare encounters after prolapse surgery: Impact of same day discharge.

American Journal of Obstetrics and Gynecology Nov 18, 2019

Romanova AL, et al. - Researchers examined whether 30-day unanticipated healthcare encounters after major pelvic organ prolapse (POP) surgery are higher in correlation to discharge on the day of surgery (POD0) vs discharge on or after post-operative day 1 (POD1). In this retrospective analysis, 405 women (Mean age: 66 (± 11) years; body mass index: 27.9 (± 4.8) kg/m2) who underwent POP surgery by 8 FPMRS surgeons from January 2016 - October 2017 were assessed; of these, 258 (63.7%) were discharged POD0 and 147 (36.3%) POD1 or later. Stage III prolapse was reported in most cases (n = 273, 67.4%). Included procedures were laparoscopic or robotic sacrocolpopexy, (n = 63, 40.2%), vaginal apical suspensions (n = 115, 28.4%), obliterative (n = 105, 25.9%), and concomitant hysterectomy (n = 229, 56.5%). The analysis revealed no increase in 30-day unanticipated healthcare encounters and no increase in 30-day readmissions in correlation to same-day discharge after prolapse surgery. The visits in the majority occurred in the office (17.8% vs 19.0%). There was (3.5% vs 4.8%). The pain was reported to be the most common visit diagnosis accounting for 31.5% of all visits, followed by urologic and GI symptoms.
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