Characteristics associated with prolonged length of stay after hysterectomy for benign gynecologic conditions

American Journal of Obstetrics and Gynecology
Surbhi AgrawalJason D Wright

Abstract

Length of stay after surgery has become an important quality measure for many common surgical procedures and is now also tied to reimbursement. Currently, little is known about the perioperative factors that contribute to prolonged hospital length of stay in women who undergo hysterectomy for benign conditions. We performed a population-based analysis to investigate the association between perioperative factors and prolonged length of stay in women who undergo minimally invasive, abdominal, and vaginal hysterectomy. We used the National Surgical Quality Improvement Program database to identify women from 2006-2015 who underwent benign hysterectomy. The primary outcome was length of stay >75th percentile. Demographic, preoperative, intraoperative, and postoperative factors were analyzed to determine individual predictors of prolonged length of stay. Model fit statistics were used to assess the importance of each group of perioperative factors on prolonged length of stay. We identified a total of 157,589 women, including 83,172 (52.8%) of whom underwent minimally invasive hysterectomy, 45,149 (28.6%) of whom underwent abdominal hysterectomy, and 29,268 (18.6%) of whom underwent vaginal hysterectomy. The 75th percentile for length...Continue Reading

Citations

Dec 14, 2019·Current Opinion in Obstetrics & Gynecology·Marisa C LiuKrishnansu S Tewari
Dec 18, 2020·The Journal of Obstetrics and Gynaecology Research·Tsukasa YoshidaKyoko Shioda
Nov 17, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Michael D TraynorMichael B Ishitani

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