Same-Day Discharge After Laparoscopic Hysterectomy Deemed Safe
|
By HospiMedica International staff writers Posted on 23 May 2011 |
|
Most women undergoing uncomplicated laparoscopic hysterectomy can safely go home the same day, according to a new study.
Researchers at Kaiser Permanente Northern California (Oakland, USA) conducted a retrospective case series of 1,015 women discharged home after total or supracervical laparoscopic hysterectomy in a managed care setting, over a three period. Chart reviews were performed for outcomes of interest, which included readmission rates, emergency visits, and surgical and demographic characteristics. The two hysterectomy groups were compared using χ2 tests for categorical variables and t-tests or Wilcoxon rank-sum tests for continuously measured variables.
The results showed that 527 patients (52%) were discharged home the same-day; of those, 46% had total laparoscopic hysterectomies and 54% had supracervical hysterectomies. Cumulative readmission rates were 0.6%, 3.6%, and 4.0% at 48 hours, 3 months, and 12 months, respectively. The most common readmission diagnoses included abdominal incision infection, cuff dehiscence, and vaginal bleeding. Less than 4% of patients presented for emergency care within 48 or 72 hours, most commonly for nausea or vomiting, pain, and urinary retention. There was no difference in readmission rates or emergency visits for the total compared with the supracervical laparoscopic hysterectomy group. The study was published in the May 2011 issue of Obstetrics & Gynecology.
"There was a time when it was considered unusual to send an uncomplicated laparoscopic cholecystectomy home the same day, and now it is standard practice," said lead author Eve Zaritsky, MD. "This study provides evidence that women do not necessarily need to stay in the hospital and thus can enjoy the quiet and comfort of their own home."
Hysterectomy, the surgical removal of the uterus, may be total, involving the removal of the body, fundus, and cervix of the uterus, or supracervical, involving the removal of the uterine body while leaving the cervix intact. It is the most commonly performed gynecological surgical procedure, with over 600,000 hysterectomies performed annually in the United States alone, 90% of which were performed for benign conditions. Such rates, the highest in the industrialized world, has led to a major controversy claiming that hysterectomies are being largely performed for unwarranted and unnecessary reasons.
Related Links:
Kaiser Permanente Northern California
Researchers at Kaiser Permanente Northern California (Oakland, USA) conducted a retrospective case series of 1,015 women discharged home after total or supracervical laparoscopic hysterectomy in a managed care setting, over a three period. Chart reviews were performed for outcomes of interest, which included readmission rates, emergency visits, and surgical and demographic characteristics. The two hysterectomy groups were compared using χ2 tests for categorical variables and t-tests or Wilcoxon rank-sum tests for continuously measured variables.
The results showed that 527 patients (52%) were discharged home the same-day; of those, 46% had total laparoscopic hysterectomies and 54% had supracervical hysterectomies. Cumulative readmission rates were 0.6%, 3.6%, and 4.0% at 48 hours, 3 months, and 12 months, respectively. The most common readmission diagnoses included abdominal incision infection, cuff dehiscence, and vaginal bleeding. Less than 4% of patients presented for emergency care within 48 or 72 hours, most commonly for nausea or vomiting, pain, and urinary retention. There was no difference in readmission rates or emergency visits for the total compared with the supracervical laparoscopic hysterectomy group. The study was published in the May 2011 issue of Obstetrics & Gynecology.
"There was a time when it was considered unusual to send an uncomplicated laparoscopic cholecystectomy home the same day, and now it is standard practice," said lead author Eve Zaritsky, MD. "This study provides evidence that women do not necessarily need to stay in the hospital and thus can enjoy the quiet and comfort of their own home."
Hysterectomy, the surgical removal of the uterus, may be total, involving the removal of the body, fundus, and cervix of the uterus, or supracervical, involving the removal of the uterine body while leaving the cervix intact. It is the most commonly performed gynecological surgical procedure, with over 600,000 hysterectomies performed annually in the United States alone, 90% of which were performed for benign conditions. Such rates, the highest in the industrialized world, has led to a major controversy claiming that hysterectomies are being largely performed for unwarranted and unnecessary reasons.
Related Links:
Kaiser Permanente Northern California
Gold Member
STI Test
Vivalytic Sexually Transmitted Infection (STI) Array
Resorbable Bovine Collagen Membrane
GenDerm
Radiofrequency Generator
GX1
Latest Patient Care News
- EHR Model Flags High-Risk Periods in Patients with Metastatic Breast Cancer
- Virtual Reality Helps Claustrophobic Patients Complete Cardiac PET/CT Scans
- Weighted Blankets Reduce Anxiety in Hospitalized Adults
- Multicenter Study Quantifies Delays in Care for Emergency Department Boarders
- Real-Time Radiation Monitor Supports Safer Fluoroscopy-Guided Procedures
- FDA-Cleared Finger Cuff Device Enables Home Blood Pressure Monitoring
- AI Avatar Doctor Improves Patient Understanding Before Radiotherapy
- Wearable Sleep Data Predict Adherence to Pulmonary Rehabilitation
- Revolutionary Automatic IV-Line Flushing Device to Enhance Infusion Care
- VR Training Tool Combats Contamination of Portable Medical Equipment
- Portable Biosensor Platform to Reduce Hospital-Acquired Infections
- First-Of-Its-Kind Portable Germicidal Light Technology Disinfects High-Touch Clinical Surfaces in Seconds
- Surgical Capacity Optimization Solution Helps Hospitals Boost OR Utilization
- Game-Changing Innovation in Surgical Instrument Sterilization Significantly Improves OR Throughput
- Next Gen ICU Bed to Help Address Complex Critical Care Needs
- Groundbreaking AI-Powered UV-C Disinfection Technology Redefines Infection Control Landscape
Channels
Artificial Intelligence
view channel
New Benchmark Highlights Evidence Gaps in AI Responses to Clinical Questions
Many clinical decisions still rely on limited evidence, while most artificial intelligence benchmarks overlook the patient context that shapes real-world care. General large language models can also struggle... Read more
Explainable AI Tool Improves Brain Disorder Screening from 4D fMRI
Functional magnetic resonance imaging (fMRI) captures changes in brain activity over time, but the resulting image sequences can be difficult to analyze. Screening for brain disorders requires assessing... Read more
Critical Care
view channel
Early Stem Cell Transplantation May Improve Survival in Rare Inherited Bone Marrow Disorder
Shwachman-Diamond syndrome (SDS) is a rare inherited bone marrow disorder that can progress to severe hematologic disease. More than 90% of affected children survive beyond age 20, but fewer than 30% live... Read more
Drone AED Delivery Could Shorten Time to Out-of-Hospital Cardiac Arrest Defibrillation
Out-of-hospital cardiac arrest requires prompt cardiopulmonary resuscitation and defibrillation. Yet automated external defibrillators (AEDs) may be difficult to reach quickly, particularly in rural areas... Read more
Surgical Techniques
view channel
First Human Implant Performed With New Open Mitral Annuloplasty Ring
In mitral valve repair, clinicians aim to preserve the mitral annulus’s three-dimensional motion while providing enough support for effective remodeling. Ring preferences vary between open and closed ... Read more
Handheld Device Improves Targeted Cell Collection for Early Ovarian Cancer Assessment
High-grade serous ovarian cancer is the most common form of ovarian cancer, and many cases are thought to originate in the fallopian tubes. Because precursor lesions can be microscopic, they are difficult... Read more
Light-Activated Nanoparticles May Offer New Approach to Retinal Prostheses
Retinitis pigmentosa is a degenerative retinal disorder in which photoreceptors progressively die, reducing visual signals to the brain while leaving surviving inner retinal circuits underused.... Read more
FDA Approves First Sirolimus Drug-Eluting Balloon for Coronary In-Stent Restenosis
Coronary in-stent restenosis (ISR) accounts for about 10% of the nearly one million percutaneous coronary interventions performed annually in the United States. Treating recurrent narrowing without another... Read moreMedical Imaging
view channel
MRI-Based Test Speeds Multiple Sclerosis Diagnosis and Reduces Lumbar Punctures
Multiple sclerosis (MS) is a neurological condition marked by multiple scars in the brain or spine. Diagnosis can be difficult because symptoms vary and the disease can progress at different rates.... Read more
AI Tool Improves Early Detection of Silicosis and Black Lung on X-Rays
Black lung and silicosis are forms of lasting lung damage that can develop after years of inhaling coal or rock dust. More than 2.2 million U.S. workers inhale these particles on the job, and damage may... Read more
Health IT
view channel
Healthcare Database Helps Close Long COVID Surveillance Gap
Long COVID is a chronic condition that occurs after SARS-CoV-2 infection and lasts at least three months. It can follow severe illness, but it can also affect anyone who has been infected.... Read more
New Tablet Platform Extends Stroke Neurorehabilitation Beyond the Clinic
Continuity and intensity of neurorehabilitation after stroke are critical for functional recovery, but access to ongoing therapy at home often remains limited. Hospitals and outpatient programs therefore... Read more
Point of Care
view channel
Continuous Glucose Monitoring Identifies Cardiometabolic Risk in Adults Without Diabetes
Dysglycemia—abnormal blood glucose regulation—can fluctuate throughout the day and often escape conventional screening. Clinicians typically rely on fasting plasma glucose and hemoglobin A1c, which offer... Read more
Microneedle Patch Enables At-Home Monitoring of Acute Kidney Injury
Kidney disease is often silent in its early stages, making timely detection difficult outside clinical settings. Early biomarkers such as neutrophil gelatinase–associated lipocalin can require blood draws... Read more
Business
view channel
Medtronic Receives FDA Clearance for Vessel-Sealing Instrument for Robotic Surgery
As robotic-assisted surgery expands across U.S. hospitals, teams increasingly seek energy instruments with the familiarity and performance of tools used in open and laparoscopic procedures.... Read more
Robotic Single-Port System Gains CE Mark for Transvaginal Gynecologic Procedures
Intuitive (Sunnyvale, CA, USA) announced that it has received CE mark approval for use of the da Vinci SP Single Port surgical system in transvaginal gynecologic procedures, marking the first such indication... Read more
