Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Jan 1;30(1):26-34.
doi: 10.1097/SPV.0000000000001376. Epub 2023 Jun 1.

Comparison of Readmission Rates for Same-Day Versus Next-Day Discharge After Benign Vaginal Hysterectomy

Elizabeth H Robison, Kristina A Burger  1 , Silpa Nekkanti  1 , Andrew F Hundley  1 , Catherine O Hudson  2
Affiliations

Comparison of Readmission Rates for Same-Day Versus Next-Day Discharge After Benign Vaginal Hysterectomy

Elizabeth H Robison et al. Urogynecology (Phila). .

Abstract

Importance: Same-day discharge (SDD) for laparoscopic hysterectomy is shown to be safe and acceptable, but data for vaginal hysterectomy (VH) are lacking.

Objective: The aim of this study was to compare 30-day readmission rates, timing, and reasons for readmission for SDD versus next-day discharge (NDD) after VH.

Study design: This was a retrospective cohort study using the American College of Surgeons National Surgical Quality Improvement Program database from 2012 to 2019. Cases of VH with or without prolapse repair were identified by Current Procedural Terminology codes. The primary outcome was 30-day readmissions after SDD versus NDD. Secondary outcomes included reasons for and time to readmission and a subanalysis evaluating 30-day readmissions for those with prolapse repair. Unadjusted and adjusted odds ratios were determined using univariate and multivariate analyses.

Results: There were 24,277 women included; 4,073 (16.8%) were SDD. The 30-day readmission rate was low (2.0%; 95% confidence interval [CI], 1.8-2.2%), with no difference in odds of readmission for SDD versus NDD after VH in multivariate analysis (SDD adjusted odds ratio [aOR], 0.9; 95% CI, 0.7-1.2). Results were similar in our subanalysis of VH with prolapse surgery (SDD aOR, 0.94; 95% CI, 0.55-1.62). Median time to readmission was 11 days and did not differ (SDD interquartile range, 5, 16 [range, 0-29] vs NDD, 7, 16 [range, 1-30]; Z = -1.30; P = 0.193). The most common reasons for readmission were bleeding (15.9%), infection (11.6%), bowel obstruction (8.7%), pain (6.8%), and nausea/emesis (6.8%).

Conclusions: Same-day discharge after VH did not have an increased odds of 30-day readmission compared with NDD. This study, with preexisting data, supports the practice of SDD after benign VH in low-risk patients.

PubMed Disclaimer

Conflict of interest statement

The authors have declared they have no conflicts of interest.

References

    1. Wright JD, Huang Y, Li AH, et al. Nationwide estimates of annual inpatient and outpatient hysterectomies performed in the United States. Obstet Gynecol . 2022;139(3):446–448. doi:10.1097/AOG.0000000000004679. - DOI
    1. Wright JD, Herzog TJ, Tsui J, et al. Nationwide trends in the performance of inpatient hysterectomy in the United States. Obstet Gynecol . 2013;122(2 Pt 1):233–241. doi:10.1097/aog.0b013e318299a6cf. - DOI
    1. Cohen SL, Ajao MO, Clark NV, et al. Outpatient hysterectomy volume in the United States. Obstet Gynecol . 2017;130(1):130–137. doi:10.1097/AOG.0000000000002103. - DOI
    1. QuickStats: percentage* of women aged ≥50 years who have had a hysterectomy, † by race/ethnicity and year—National Health Interview Survey, United States, 2008 and 2018§. MMWR Morb Mortal Wkly Rep . 2019;68(41):935. doi:10.15585/mmwr.mm6841a3. - DOI
    1. Matteson KA, Butts SF. Choosing the route of hysterectomy for benign disease. Committee Opinion No 701. American College of Obstetricians and Gynecologists. Obstet Gynecol . 2017;129(6):e155–e159.

LinkOut - more resources