Same-day discharge for pediatric Nuss procedure; an analysis of the NSQIP-pediatric database from 2017–2022

Topic overview

Key takeaways

• Same-day discharge after pediatric Nuss procedure increased from 0.8% to 2.7% (2018-2022) without increased complications in 91 patients.
• No significant difference in 30-day readmission (1.1% vs 3.5%) or reoperation rates between same-day and standard discharge groups.
• Asthma increases readmission/reoperation risk (OR 1.66); longer operative time also correlates with increased complications.
• Most common reasons for readmission: pain management (n=4); most common reoperation: chest-tube placement (n=10).
• Same-day discharge is reasonable for non-asthmatic patients with satisfactory post-op x-ray and adequate pain control.

Keywords

Hashtags