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Tytuł pozycji:

Impact of the COVID-19 Crisis on Same-day Discharge After Robotic Urologic Surgery.

Tytuł:
Impact of the COVID-19 Crisis on Same-day Discharge After Robotic Urologic Surgery.
Autorzy:
Abaza R; Robotic Surgery, OhioHealth Dublin Methodist Hospital, Dublin, OH; Ohio University Heritage College of Osteopathic Medicine, Dublin, OH. Electronic address: .
Kogan P; Robotic Surgery, OhioHealth Dublin Methodist Hospital, Dublin, OH.
Martinez O; Robotic Surgery, OhioHealth Dublin Methodist Hospital, Dublin, OH.
Źródło:
Urology [Urology] 2021 Mar; Vol. 149, pp. 40-45. Date of Electronic Publication: 2021 Jan 19.
Typ publikacji:
Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
Język:
English
Imprint Name(s):
Publication: New York : Elsevier Science
Original Publication: Ridgewood, N.J., Professional Medical Services Co.
MeSH Terms:
COVID-19/*prevention & control
Patient Discharge/*statistics & numerical data
Robotic Surgical Procedures/*statistics & numerical data
Urologic Neoplasms/*surgery
Urologic Surgical Procedures/*statistics & numerical data
Adult ; Aged ; Aged, 80 and over ; COVID-19/epidemiology ; COVID-19/virology ; Female ; Humans ; Infectious Disease Transmission, Professional-to-Patient/prevention & control ; Length of Stay/statistics & numerical data ; Male ; Middle Aged ; Ohio/epidemiology ; Pandemics/prevention & control ; Patient Discharge/standards ; Patient Readmission/statistics & numerical data ; Patient Selection ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Prospective Studies ; Robotic Surgical Procedures/standards ; Severity of Illness Index ; Time Factors ; Urologic Neoplasms/diagnosis ; Urologic Surgical Procedures/standards ; Young Adult
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Entry Date(s):
Date Created: 20210122 Date Completed: 20210316 Latest Revision: 20221216
Update Code:
20240105
PubMed Central ID:
PMC7817411
DOI:
10.1016/j.urology.2021.01.012
PMID:
33482129
Czasopismo naukowe
Objective: To assess the impact of the COVID-19 pandemic on the rate of same-day discharge (SDD) after robotic surgery METHODS: We reviewed our robotic surgeries during COVID-19 restrictions on surgery in Ohio between March 17 and June 5, 2020 and compared them with robotic procedures before COVID-19 and after restrictions were lifted. We followed our formerly described protocol in use since 2016 offering the option of SDD to all robotic urologic surgery patients, regardless of procedure type or patient-specific factors.
Results: During COVID-19 restrictions (COV), 89 robotic surgeries were performed and compared with 1667 of the same procedures performed previously (pre-COV) and 42 during the following month (post-COV). Among COV patients 98% (87/89 patients) opted for same-day discharge after surgery versus 52% in the historical pre-COV group (P < .00001). Post-COV, the higher rate of SDD was maintained at 98% (41/42 patients). There were no differences in 30-day complications or readmissions between SDD and overnight patients with only 2 COV (2%) and no post-COV 30-day readmissions.
Conclusion: SDD after robotic surgery was safely applied during the COVID-19 crisis without increasing complications or readmissions. SDD may allow continuation of robotic surgery despite limited hospital beds and when minimizing hospital stay is important to protect postoperative patients from infection. Our experience suggests that patient attitude is a major factor in SDD after robotic surgery since the proportion of patients opting for SDD was much higher during COV and continued post-COV. Consideration of SDD long-term may be warranted for cost savings even in the absence of a crisis.
(Copyright © 2021 Elsevier Inc. All rights reserved.)

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