Trends and outcomes in pediatric laparoscopic appendectomy: a NSQIP-P analysis of same-day discharge and readmission rates

Topic overview

Key takeaways

• Same-day discharge after laparoscopic appendectomy for non-perforated appendicitis increased from 33% to 53% (2017-2021) without increased complications.
• Same-day discharge patients had lower 30-day readmission rates compared to those staying 1-2 days (1.3% vs 2.1%, p<0.001).
• Current national same-day discharge rates are 20-30% lower than single-center studies suggest is safe, indicating opportunity for practice change.
• Patients with esophageal/gastric/intestinal comorbidities have 1.85x increased odds of early readmission or reoperation.
• NSQIP-P data supports same-day discharge as safe standard practice for uncomplicated pediatric laparoscopic appendectomy.

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