Trends and outcomes in pediatric laparoscopic appendectomy: a NSQIP-P analysis of same-day discharge and readmission rates
Topic overview
NSQIP-P analysis of 67,214 pediatric laparoscopic appendectomy cases (2017-2021) shows same-day discharge rates increased from 33% to 53% without increased adverse events. Same-day discharge patients had lower 30-day readmission rates (1.3% vs 2.1%) compared to overnight stays, suggesting broader adoption is safe and feasible.
Key takeaways
- Same-day discharge after pediatric laparoscopic appendectomy for non-perforated appendicitis increased from 33% to 53% (2017-2021) without increased adverse events.
- 30-day readmission rates were lower in same-day discharge patients compared to those staying 1-2 days (1.3% vs 2.1%, p<0.001).
- Current same-day discharge rates are 20-30% lower than single-center studies suggest, indicating opportunity to safely expand this practice.
- Patients with esophageal/gastric/intestinal comorbidities have 1.85x increased odds of early readmission or reoperation after same-day discharge.
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