Same-Day Discharge is Safe, Feasible Following Vaginal Hysterectomy with Apical Suspension

Figures & data

Table 1 Demographics of Subjects by Time Period

Total (n = 324)	Same-Day Discharge as Standard Practice		p value
	No [Dec 2018–Feb 2020] (n = 149)	Yes [Dec 2020–Feb 2022] (n = 175)
Age in years, median (IQR)	62 (55–69)	65 (55.5–72)	0.02
Race, n (%)			0.27
Caucasian/White	130 (87.2)	165 (94.3)
African American/Black	11 (7.4)	6 (3.4)
Asian	3 (2.0)	2 (1.1)
Other	3 (2.0)	1 (0.6)
Multiracial	1 (0.7)	1 (0.6)
Unknown	1 (0.7)	0 (0.0)
Ethnicity, n (%)			0.90
Not Hispanic or Latino	145 (97.3)	168 (96.0)
Hispanic	2 (1.3)	3 (1.7)
Unknown	2 (1.3)	4 (2.3)
BMI, median (IQR)	27.62 (24.80–31.32)	27.44 (24.16–30.88)	0.15
EBL, n (%)			0.09
0–200 mL	133 (89.3)	166 (94.9)
>200 mL	16 (10.7)	9 (5.1)
Home with Catheter, n (%)	109 (73.2)	132 (75.4)	0.70

Abbreviations: BMI, body mass index; EBL, estimated blood loss; data presented as median (IQR), frequency (percentage).

Table 2 Procedures of Subjects by Time Period

Total (n = 324)	Same-Day Discharge as Standard Practice		p value
	No [Dec 2018–Feb 2020] (n = 149)	Yes [Dec 2020–Feb 2022] (n = 175)
TVH, n (%)	149 (100.0)	175 (100.0)
Salpingectomy, n (%)	129 (86.6)	131 (74.9)	0.01
Oophorectomy, n (%)	4 (2.7)	14 (8.0)	0.05
VVS, n (%)	149 (100.0)	175 (100.0)
ER, n (%)	146 (98.0)	173 (98.9)	0.66
AR, n (%)	148 (99.3)	174 (99.4)	1.00
PR, n (%)	148 (99.3)	174 (99.4)	1.00
MUS, n (%)	49 (32.9)	74 (42.3)	0.09

Note: Data presented as frequency (percentage).

Abbreviations: TVH, total vaginal hysterectomy; VVS, vaginal vault suspension; ER, enterocele repair; AR, anterior repair; PR, posterior repair; MUS, mid-urethral sling.

Table 3 Outcomes by Time Period

Total (n = 324)	Same-Day Discharge as Standard Practice		p value
	No [Dec 2018–Feb 2020] (n = 149)	Yes [Dec 2020–Feb 2022] (n = 175)
ED visits, 30 days, n (%)	22 (14.8)	26 (14.9)	1.00
ED visits, 90 days, n (%)	24 (16.1)	27 (15.4)	0.88
Readmissions, 30 days, n (%)	4 (2.7)	7 (4.0)	0.56
Readmissions, 90 days, n (%)	5 (3.4)	8 (4.6)	0.78
Reoperations, 30 days, n (%)	3 (2.0)	3 (1.7)	1.00

Note: Data are presented as frequency (percentage).

Abbreviation: ED, emergency department.

Table 4 Office Visits, Office Calls, Electronic Messages, Communications

Total (n = 324)	Same-Day Discharge as Standard Practice		p value
	No [Dec 2018–Feb 2020] (n = 149)	Yes [Dec 2020–Feb 2022] (n = 175)
Office Visits, 30 days	2 (1–2)	1 (1–2)	<0.01
Office Visits, 90 days	4 (3–5)	2 (2–4)	<0.01
Office Calls, 30 days	3 (2–5)	3 (2–4)	0.03
Office Calls, 90 days	4 (2–6)	3 (2–6)	0.09
Electronic Messages, 30 days	0 (0–0)	0 (0–1)	<0.01
Electronic Messages, 90 days	0 (0–0)	0 (0–3)	<0.01
Patient Communications^a
Communications, 30 days	3 (2–6)	3 (2–6)	0.95
Communications, 90 days	4 (3–7)	5 (3–8)	0.12

Note: ^aCombination of office calls and electronic messages.

Abbreviation: IQR, data are presented as median.