Table 5.
Comparison of outcomes of SDD vs. ERP with 3-day target length of stay; both cohorts had post-discharge remote follow-up with a mHealth phone app [43]
| Same day discharge (n = 48) | Standard ERP (n = 73) | p-value | |
|---|---|---|---|
| Mean age, years (SD) | 60.2 (10.5) | 56.5 (13.1) | 0.111 |
| Male gender | 22 (46%) | 43 (59%) | 0.158 |
| Body mass index, kg/m2 (SD) | 26.3 (5.0) | 27.7 (5.3) | 0.171 |
| ASA physical status | 0.499 | ||
| 1 | 4 (8%) | 4 (5%) | |
| 2 | 27 (55%) | 38 (52%) | |
| 3 + | 17 (35%) | 31 (43%) | |
| Indication for surgery | 0.027 | ||
| Neoplasm | 25 (52%) | 47 (64%) | |
| Inflammatory bowel disease | 3 (6%) | 12 (16%) | |
| Stoma closure | 15 (31%) | 7 (10%) | |
| Diverticular disease | 2 (4%) | 4 (5%) | |
| Other | 3 (6%) | 3 (4%) | |
| Procedure performed | 0.022 | ||
| Right colectomy | 14 (29%) | 33 (45%) | |
| Left/sigmoid colectomy | 12 (25%) | 22 (30%) | |
| Low anterior resection | 7 (15%) | 11 (15%) | |
| Stoma closure | 15 (31%) | 7 (10%) | |
| Mean procedure time, min (SD) | 116 (56) | 177 (74) | < 0.001 |
| Median estimated blood loss, mL [IQR] | 5 [5–100] | 100 [28–200] | 0.089 |
| Mean PACU time, min (SD) | 311 (242) | 260 (216) | 0.242 |
| Median length of stay, days [IQR] | 0 [0–0] | 2 [1-4] | < 0.001 |
| 30-day complications | 8 (17%) | 11 (15%) | 0.813 |
| 30-day ED visit | 5 (10%) | 6 (8%) | 0.664 |
| 30-day readmission | 3 (6%) | 3 (4%) | 0.681 |