Trends and outcomes in pediatric laparoscopic appendectomy: a NSQIP‑P analysis of same‑day discharge and readmission rates
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- Same-day discharge after laparoscopic appendectomy for non-perforated appendicitis increased from 33% (2017) to 52% (2021) in pediatric patients.
- Same-day discharge patients had fewer 30-day readmissions and lower superficial SSI rates versus those discharged on post-op day 1-2.
- No increase in adverse events with same-day discharge, supporting its safety and feasibility for appropriate pediatric appendectomy cases.
- NSQIP-P registry data (2017-2021) demonstrates same-day discharge is becoming standard practice without compromising patient outcomes.
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Can pediatric patients who had a laparoscopic appendectomy be discharged home on the same day, and how does same-day discharge affect their outcomes? I'm Lizzie Lee from Cincinnati Children's Hospital, and this is an article you should know about. This study used data from the NQUIP registry from 2017 to 2021 to look at same-day discharge for patients with non-perforated appendicitis who underwent laparoscopic appendectomy. The same-day discharge rate increased from 33% in 2017 to 52% in 2021. Those discharged on the same day had fewer 30-day readmissions and lower rates of superficial surgical site infections compared to those discharged on post-op day one or two. There was no increase in adverse events for patients with same-day discharge, suggesting that same-day discharge is becoming more common and does not negatively impact outcomes. Let us know what you think in the comments below, and stay tuned for more articles that you should know about.