Same-Day Discharge for Elective Pediatric Laparoscopic Gastrostomy Tube Insertion is Safe and Increasing in Frequency; A NSQIP Pediatric Retrospective Review 2017 to 2021
Timestops (2)
Tools Used
Topic Overview
Key Takeaways
- Same-day discharge after elective laparoscopic G-tube placement is safe with no increase in 30-day readmissions or complications.
- Only 4.7% of 5,947 pediatric patients were discharged same-day, suggesting significant practice variation despite safety data.
- No significant difference in reoperations or complications between same-day vs 1-2 day discharge groups (NSQIP-P 2017-2021).
- Current low adoption of same-day discharge represents opportunity to reduce hospital stay without compromising safety.
Keywords
Hashtags
Transcript
What are the trends and outcomes of same-day discharge after pediatric elective laparoscopic gastrostomy? I'm Alex Halpern, a research fellow from Children's National, and this is an article that you should know. Woodward et al. performed a retrospective analysis of the ACS Nisqua P database from 2017 to 2021 to try and answer this question. They identified 5,947 pediatric patients who underwent elective laparoscopic gastrostomy tube placement. 4.7% of those patients were discharged the same day. There were not significant differences in 30 day unplanned readmissions, reoperations, or any other complications between the patients discharged the same day and those discharged 1 to 2 days postoperatively. So, it seems like same day discharge for pediatric patients after elective laparoscopic gastrostomy is safe, but not commonly done. Does this information change your practice at all? Let us know what you think in the comments below.