PD28-09 SAFETY AND FEASIBILITY OF SAME-DAY DISCHARGE FOLLOWING SINGLE-PORT ROBOTIC-ASSISTED LAPAROSCOPIC PROSTATECTOMY

Abstract

You have accessJournal of UrologyHealth Services Research: Quality Improvement & Patient Safety I (PD28)1 Sep 2021PD28-09 SAFETY AND FEASIBILITY OF SAME-DAY DISCHARGE FOLLOWING SINGLE-PORT ROBOTIC-ASSISTED LAPAROSCOPIC PROSTATECTOMY Carrie Ronstrom, Joel Vetter, Julia Sheets, Vicky Peck, Sherb Figenshau, and Eric Kim Carrie RonstromCarrie Ronstrom More articles by this author , Joel VetterJoel Vetter More articles by this author , Julia SheetsJulia Sheets More articles by this author , Vicky PeckVicky Peck More articles by this author , Sherb FigenshauSherb Figenshau More articles by this author , and Eric KimEric Kim More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002029.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Prior studies have demonstrated the safety of same-day discharge (SDD) following robotic prostatectomy using the multiport robot. At our institution, the da Vinci Single-Port (SP) robot was first used for a robotic prostatectomy in November 2019 and has since been used routinely for prostatectomies. Given the coronavirus pandemic and increased hospital capacity, SDD has become desired. This study was developed to determine safety and feasibility of SDD following SP robotic prostatectomy. METHODS: Patient data was collected from January 2020 to December 2020. SDD was offered to patients starting March 2020. Criteria for SDD included: patients had to obtain surgeon approval, have a caregiver stay overnight the first night after surgery, had to ambulate, tolerate oral intake, and have pain controlled on oral medications. Following discharge, patients who underwent SP robotic prostatectomy received a telephone survey regarding outcomes and opinions regarding SDD. Patient medical records were reviewed to evaluate readmissions and complications. RESULTS: Fifty-one patients were included in the study, 15 of whom underwent SDD. In total there were 8 readmissions and emergency department (ED) visits, four occurred in the SDD group and four in the standard discharge group. Table 1 includes details on visit reasons and timing post-operatively. There was no statistical difference in rate of ED visits, or readmissions within 7-days, 30-days or 90-days between the two groups (p value 0.34, 1.00, 1.00, 0.14 respectively). The only readmission/ED visit that may have been avoided with standard discharge was for kinked catheter on post-operative day (POD) 0. On follow up survey, all patients who discharged same day, except the patient with POD 0 complication, endorsed that SDD remained the right choice for them in retrospect. CONCLUSIONS: SDD following SP robotic prostatectomy appears to be feasible and safe without significant increase in readmissions or ED visits. When offered to patients who met criteria, greater than 90% who underwent SDD felt it remained the correct decision for them in hindsight. Source of Funding: N/A © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e523-e524 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Carrie Ronstrom More articles by this author Joel Vetter More articles by this author Julia Sheets More articles by this author Vicky Peck More articles by this author Sherb Figenshau More articles by this author Eric Kim More articles by this author Expand All Advertisement Loading ...