P-127 Outpatient (Same-day Discharge) versus Inpatient Parotidectomy: A Systematic Review and Meta-analysis

Oral Oncology ◽  
2021 ◽  
Vol 118 ◽  
pp. 4
Author(s):  
Susanne Flach ◽  
Shiying Hey ◽  
Alison Lim ◽  
Pavithran Maniam ◽  
Zhi Li ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Same Day Discharge

scholarly journals Same-day discharge after appendectomy for acute appendicitis: a systematic review and meta-analysis

2021 ◽  
Author(s):  
Elisabeth M. L. de Wijkerslooth ◽  
Jay M. Bakas ◽  
Joost van Rosmalen ◽  
Anne Loes van den Boom ◽  
Bas P. L. Wijnhoven
Keyword(s):  
Systematic Review ◽  
Acute Appendicitis ◽  
Comparative Studies ◽  
Meta Analysis ◽  
Postoperative Recovery ◽  
Risk Of Bias ◽  
Increased Risk ◽  
Uncomplicated Appendicitis ◽  
Same Day Discharge ◽  
Hospital Visits

Abstract Purpose Patients presenting with acute appendicitis are usually hospitalized for a few days for appendectomy and postoperative recovery. Shortening length of stay may reduce costs and improve patient satisfaction. The purpose of this study was to assess the safety of same-day discharge after appendectomy for acute appendicitis. Methods A systematic review was performed according to PRISMA guidelines. A literature search of EMBASE, Ovid MEDLINE, Web of Science, Cochrane Central, and Google Scholar was conducted from inception to April 14, 2020. Two reviewers independently screened the literature and selected studies that addressed discharge on the same calendar day as the appendectomy. Risk of bias was assessed with the ROBINS-I tool. Main outcomes were hospital readmission, complications, and unplanned hospital visits in the postoperative course. A random effects model was used to pool risk ratios for the main outcomes. Results Of the 1912 articles screened, 17 comparative studies and 8 non-comparative studies met the inclusion criteria. Most only included laparoscopic procedure for uncomplicated appendicitis. Most studies were considered at moderate or serious risk of bias. In meta-analysis, same-day discharge (vs. overnight hospitalization) was not associated with increased rates of readmission, complication, and unplanned hospital visits. Non-comparative studies demonstrated low rates of readmission, complications, and unplanned hospital visits after same-day discharge. Conclusion This study suggests that same-day discharge after laparoscopic appendectomy for uncomplicated appendicitis is safe without an increased risk of readmission, complications, or unplanned hospital visits. Hence, same-day discharge may be further encouraged in selected patients. Trial registration PROSPERO registration no. CRD42018115948

scholarly journals Outpatient (same‐day discharge) versus inpatient parotidectomy: A systematic review and meta‐analysis

2020 ◽  
Vol 45 (4) ◽  
pp. 529-537 ◽  
Author(s):  
Susanne Flach ◽  
Shi Ying Hey ◽  
Alison Lim ◽  
Pavithran Maniam ◽  
Zhi Li ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Same Day Discharge

Comparison between same‐day discharge and overnight stay after atrial fibrillation ablation: systematic review and meta‐analysis

2021 ◽  
Author(s):  
Narut Prasitlumkum ◽  
Wisit Cheungpasitporn ◽  
Ronpichai Chokesuwattanaskul ◽  
Jakrin Kewcharoen ◽  
Nithi Tokavanich ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Systematic Review ◽  
Meta Analysis ◽  
Atrial Fibrillation Ablation ◽  
Overnight Stay ◽  
Same Day Discharge

scholarly journals Same-day discharge vs hospital admission after cardiac device implantations: a systematic review and meta-analysis

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
A Trongtorsak ◽  
J Kewcharoen ◽  
S Thangjui ◽  
P Worapongsatitaya ◽  
R Yodsuwan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Cardiac Device ◽  
Funding Sources ◽  
Overnight Stay ◽  
Same Day Discharge ◽  
Retrospective Cohort Studies ◽  
Feasible Alternative ◽  
Randomized Control ◽  
The Cost

Abstract Background Due to the increasing need for cardiac device implantations, the cost of healthcare has been rising. This includes the cost of hospital stay after the procedure. Thus, we conducted this systematic review and meta-analysis to assess the safety and feasibility of same-day discharge (SDD) after cardiac device implantations. Methods We searched MEDLINE, and Embase databases from inception to March 2021 to identify studies that compared clinical outcomes between SDD group and hospital overnight stay (HO) group after cardiac device implantations. Outcomes included complications after the procedure, mortality, and rehospitalization. Data from each study were combined using the random-effects model to calculate pooled odds ratio (OR) with 95% confidence interval (CI). Results Six studies (1 randomized control trial, 1 prospective cohort study and 4 retrospective cohort studies) with a total of 59,312 patients were included. SDD was not associated with more procedure-related complications. The pooled ORs for wound problems, pneumothorax, hematoma, and lead dislodgement/repositioning were 0.86 (95% CI: 0.2–3.68, p=0.834), 1.36 (95% CI: 0.26–7.12, p=0.718), 0.35 (95% CI: 0.01–9.85, p=0.534), and 1.71 (95% CI: 0.64–4.54, p=0.281) respectively. Readmission rate (pooled OR= 1.38, 95% CI: 0.51–3.69, p=0.524) and mortality rate (pooled OR= 0.86, 95% CI: 0.62–1.2, p=0.383) were similar between both groups. As shown in figure 1. Conclusions Our meta-analysis suggested that same-day discharge after cardiac device implantations is a safe and feasible alternative to a hospital overnight stay strategy. FUNDunding Acknowledgement Type of funding sources: None.

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