Next-day discharge after minimally invasive partial nephrectomy: an analysis of the US National Surgical Quality Improvement Program

摘要: Clinical care pathways and new technologies have decreased the length of stay after many surgeries. However, doubt exists about safety shorter hospital stays. We sought to evaluate feasibility next-day discharge minimally invasive partial nephrectomy in a national cohort US patients surgeons. Using National Surgical Quality Improvement Program database, we analyzed who underwent from 2012 2016. Patients were grouped into on post-operative day 1, or days 2 3. Propensity score matching was used balance patient characteristics univariable analysis determine effect readmission, post-discharge complications, major complications. A total 8153 included 4430 matched. The matched balanced all peri-operative characteristics. On analysis, no increase odds observed group for readmission (odds ratio 0.8; 95% confidence interval 0.6–1.4; p = 0.2), complications 1.0; 0.7–1.4; p = 0.9), 0.9; 0.5–1.4; p = 0.6). Next-day select is effectively being utilized by large, nationwide This approach feasible certain populations though further research must selection criteria safe discharge.