A comparison study of 90-day readmission and emergency department visitation after outpatient versus inpatient pediatric pollicization surgery

• DOI: 10.1016/j.jham.2024.100176
• Publication Date: 2024-11-13T09:06:21Z
• Authors: Julia C. Mastracci; Eliana B. Saltzman; Kirby W. Bonvillain; Katherine D. Drex...; Julie C. Woodside; R. Christopher Ch...; Peter M. Waters; R. Glenn Gaston

Transition to outpatient surgery has grown with an emphasis on delivery of safe, high-quality medical care. The purpose this study is compare 90-day emergency department (ED) visits, readmissions, and complications between patients undergoing versus inpatient pollicization surgery. A single institution database was queried for primary thumb from 2010 2022 in under 18 years age. Standard demographic data, comorbidities, surgical information, discharge disposition were collected. Primary outcome measures including ED unplanned reoperations hospital readmissions within 90-days index procedure. Twenty-seven underwent Twenty while 7 had postoperative admission, defined as overnight stay. cohort no major or 90 days One experienced swelling around bilateral pin sites without infection vascular compromise. represented the hand cellulitis.All ASA I classification performed outpatient. Three inpatients (43 %) congenital heart disease 5 20 (25 outpatients. There a trend that younger than (19 vs. 33 months). average length procedure significantly longer (237 173 min). Pollicizations 2017 more likely be those 2016. On properly selected patients, appears safe option. Patients operative times require admission. Over evaluated at our institution, procedures outpatient, reflecting evolution practice. Level III, retrospective study.