Same-Day Discharge for Elective Pediatric Laparoscopic Gastrostomy Tube Insertion is Safe and Increasing in Frequency; A NSQIP Pediatric Retrospective Review 2017 to 2021
Topic overview
NSQIP-P analysis of 5,947 elective pediatric laparoscopic gastrostomy cases (2017-2021) shows same-day discharge rates doubled from 2.7% to 6.3% without increased readmissions or complications. Preoperative steroid use doubled complication risk, but non-steroid patients can safely undergo same-day discharge.
Key takeaways
- Same-day discharge after elective pediatric laparoscopic G-tube placement is safe with no increase in 30-day readmission or reoperation rates.
- National same-day discharge rates doubled from 2.7% to 6.3% between 2017-2021, indicating growing acceptance of outpatient approach.
- Preoperative steroid use within 30 days doubles the risk of complications and readmission, warranting overnight observation in these patients.
- All patients requiring reoperation within 3 days were identified before discharge, supporting careful same-day assessment protocols.
- In non-steroid users, same-day discharge is a viable option that may reduce healthcare costs without compromising patient safety.
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