You have accessJournal of UrologyBladder Cancer: Invasive V1 Apr 2016MP63-17 WEEKEND DISCHARGE AFTER RADICAL CYSTECTOMY AND THE RISK OF READMISSION James Tracey, Sapan Ambani, Takahiro Osawa, Ted Skolarus, Chang He, Tudor Borza, Alon Weizer, Jeffrey Montgomery, Khaled Hafez, Brent Hollenbeck, Cheryl Lee, and Todd Morgan James TraceyJames Tracey More articles by this author , Sapan AmbaniSapan Ambani More articles by this author , Takahiro OsawaTakahiro Osawa More articles by this author , Ted SkolarusTed Skolarus More articles by this author , Chang HeChang He More articles by this author , Tudor BorzaTudor Borza More articles by this author , Alon WeizerAlon Weizer More articles by this author , Jeffrey MontgomeryJeffrey Montgomery More articles by this author , Khaled HafezKhaled Hafez More articles by this author , Brent HollenbeckBrent Hollenbeck More articles by this author , Cheryl LeeCheryl Lee More articles by this author , and Todd MorganTodd Morgan More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.946AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Weekend discharge has been described as an independent risk factor for readmission in select complex surgical procedures. We sought to investigate whether a weekend discharge after radical cystectomy (RC) is associated with an increase in post-discharge readmissions. METHODS We performed a retrospective review of 726 consecutive patients with 90 day follow-up who underwent RC at our institution from 2005-2012. Patients were categorized according to weekday discharge (Monday-Friday) vs. weekend discharge (Saturday-Sunday) from the index admission. The primary outcome was readmission occurring within 90 days after discharge. Clinicopathologic variables were compared using chi-squared tests, and Cox univariable and multivariable logistic regression was performed to determine the association between weekend discharge and readmission. Covariates assessed included age, gender, race, marital status, BMI, ASA and Charlson score, pT stage, pN stage, diversion type, robotic vs. open, chemotherapy, surgeon cystectomy volume, peri-operative blood transfusion, length of stay and inpatient complications. Kaplan Meier analysis was also performed. RESULTS There were 539 patients discharged on a weekday and 187 patients discharged during the weekend. Patients in both cohorts had similar baseline and operative characteristics except for shorter operative times for patients discharged over the weekend (p<0.01). Weekend and weekday discharges had a similar rate of inpatient complications (p=0.20), ASA scores (p=0.21) and length of stay (p=0.07). Hospital readmission within 90 days occurred in 36.6% of weekend discharge patients compared to 28.2% of weekday discharge patients (log rank p=0.019, see Figure 1). On multivariate analysis, after controlling for age, gender, race, marital status, BMI, ASA and Charleston score, t-stage, diversion type, transfusion, length of stay and inpatient complications, weekend discharge was associated with a significant independent increase in the risk of readmission (HR 1.44, 95%CI 1.06-1.96, p=0.02). CONCLUSIONS Weekend discharge post-RC appears to be associated with an increased risk of hospital readmission. Further attention is needed to understand why this association exists and whether interventions, such as supplemental outpatient services, can diminish this effect. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e828 Advertisement Copyright & Permissions© 2016MetricsAuthor Information James Tracey More articles by this author Sapan Ambani More articles by this author Takahiro Osawa More articles by this author Ted Skolarus More articles by this author Chang He More articles by this author Tudor Borza More articles by this author Alon Weizer More articles by this author Jeffrey Montgomery More articles by this author Khaled Hafez More articles by this author Brent Hollenbeck More articles by this author Cheryl Lee More articles by this author Todd Morgan More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...