The Effect of Inpatient versus Outpatient Location on Postoperative Healthcare Utilization After Neonatal Circumcision
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Read the article on jpedsurg.org ↗Article · Feb 2022 · 1 min read
In brief
In brief
Retrospective study of 3,137 full-term infants found no significant difference in 30-day postoperative healthcare utilization between outpatient and inpatient neonatal circumcision. Inpatient procedures were associated with nearly double the length of stay, suggesting outpatient circumcision is safe with potential cost and efficiency benefits.
Written by the GCMD Library team from the article.
Background/Purpose
: Neonatal circumcision is a common pediatric procedure performed in both the inpatient and outpatient setting. We aimed to determine if procedure location affected 30-day post-procedure healthcare utilization rates, inpatient length of stay (LOS), and amount charged.
Methods
: We performed a retrospective cohort study comparing 30-day postoperative healthcare utilization (emergency department (ED) visits, office visits, readmissions) of full-term infants who underwent an outpatient versus inpatient (same admission as birth) circumcision from 2015-2020. Statistical analyses included Chi-square tests, multivariable adjusted logistic regression models when appropriate.
Results
: 3137 infants were included, 1426 (45.5%) had an outpatient circumcision, 1711 (54.5%) an inpatient. Outpatient had similar overall healthcare utilization rates as inpatients (5.7% vs. 5.6%, p=0.933). The number of ED visits (1.5% vs 0.8%, p=0.055), office visits (4.5% vs. 5.1%, p=0.437), and readmissions (0.2% vs. 0.0%, p=0.058) were not significantly different. Infants with inpatient circumcisions had longer LOS after adjusting for age, ethnicity and delivery type (Cesarean versus vaginal) with an incident rate ratio of 1.97 (95% confidence interval 1.84-2.11, p