Page 6 - [Podium Sessions] CUA 2022 Annual Meeting Abstracts

2022 CUA Abstracts

POD-2.4. Table 2B. LEP same-day discharge success rate patient outcomes in RARP and LEP patients operated as same-day surgery
vs. inpatient.
Planned same- Planned p Methods: Patients operated for RARP or LEP between May 2020 and
day (n=46) inpatient Decemeber 2021 were studied. Among RARP patients, 95 were identified
(n=30) as planned inpatient (PIP-RARP) and 43 planned same-day (PSDD-RARP).
Actual patient orientation Among LEP patients, 30 were identified as planned inpatient (PIP-LEP) and
46 planned as same-day (PSDD-LEP). PSDD patients were compared to
Discharged 29 (63.0%) 0 (0%) <0.001 PIP patients for both patient groups, with primary outcomes being SDD
Hospitalized 17 (37.0%) 30 (100%) failure, 30-day complication, and re-admission rates.
Duration of hospitalization Results: General patient characteristics, such as age, American Society
of Anesthesiology (ASA), and Revised Cardiac Risk Index (RCRI) did not
Mean (SD) 1.41 (1.06) 1.57 (1.72) 0.705 differ between PSDD and PIP in both patient populations (Table 1). Of
Median [min, max] 1.00 [1.00, 5.00] 1.00 [1.00, the PSDD-RARP patients, 74.4% were successfully discharged the day
10.0] of surgery. The overall postoperative complication, 30-day emergency
30-day emergency visit department (ED) visits, and re-admission rates were 18.6%, 18.6%, and
9.3% in PSDD-RARP patients vs.13.7% (p=0.63), 4.2% (p=0.01), 2.1%
No 44 (95.7%) 28 (93.3%) 1 (p=0.14) for PIP-RARP, respectively. Of the PSDD-LEP patients, 63% were
Yes 2 (4.3%) 2 (6.7%) successfully discharged the day of the surgery. The overall postoperative
Readmission complication, 30-day ED visits, and re-admission rates were 15.2%, 4.3%,
and 0% in PSDD-LEP patients vs. 23.3% (p=0.56), 6.7% (p=1.0), 3.3%
No 46 (100%) 29 (96.7%) 0.828 (p=0.83) for PIP-LEP, respectively (Tables 2, 3).
Yes 0 (0%) 1 (3.3%) Conclusions: Same-day discharge for RARP and LEP is safe and feasible
Rates of successful same-day discharge, duration of hospitalization, emergency consul- in select patients, with an acceptable and comparable complication rate.
tation, and readmission in planned same-day LEP vs. inpatient. References
1. Teoh JY, Ong WLK, Gonzalez-Padilla D, et al. A global survey
on the impact of COVID-19 on urological services. Eur Urol
POD-2.4. Table 3A. RARP patient overall frequency of 2020;78:265-75. https://doi.org/10.1016/j.eururo.2020.05.025
postoperative complication 2. Gouvernement du Québec. [Bloc opératoire - Directives cliniques
aux professionnels et au réseau pour la COVID-19, Santé et serv-
Planned Planned same- p ies sociaux]. Editor. 2020.
inpatient day (n=43)
(n=95) POD-2.4. Table 3B. LEP Patient overall frequency of post-
Postoperative operative complication
complication
Planned Planned p
No 82 (86.3%) 35 (81.4%) 0.625
same-day inpatient
Yes 13 (13.7%) 8 (18.6%) (n=46) (n=30)
30-day emergency visit Postoperative complication
No 91 (95.8%) 35 (81.4%) 0.0142 No 39 (84.8%) 23 (76.7%) 0.556
Yes 4 (4.2%) 8 (18.6%) Yes 7 (15.2%) 7 (23.3%)
Reason for emergency 93 (97.9%) 35 (81.4%) 0.022 Primary reason for 29 (63.0%) 0 (0%) <0.001
visit hospitalization
Abdominal pain 0 (0%) 1 (2.3%) Hematuria 3 (6.5%) 4 (13.3%)
Anastomotic leak 0 (0%) 1 (2.3%) Infection 2 (4.3%) 2 (6.7%)
Collection 1 (1.1%) 1 (2.3%) Normal postoperative evol 12 (26.1%) 24 (80.0%)
Hematuria 1 (1.1%) 1 (2.3%) Secondary reason for 46 (100%) 29 (96.7%) 0.828
Urinary leak 0 (0%) 1 (2.3%) hospitalization
Urinary retention 0 (0%) 3 (7.0%) Hematuria 0 (0%) 1 (3.3%)
Readmission rate 30-day emergency visit
No 93 (97.9%) 39 (90.7%) 0.142 No 44 (95.7%) 28 (93.3%) 1
Yes 2 (2.1%) 4 (9.3%) Yes 2 (4.3%) 2 (6.7%)
Reason for readmission 93 (97.9%) 39 (90.7%) 0.078 Primary reason for emerg visit 44 (95.7%) 28 (93.3%) 0.112
Anastomotic leak 0 (0%) 1 (2.3%) Hematuria 0 (0%) 2 (6.7%)
Collection 0 (0%) 1 (2.3%) Retention 2 (4.3%) 0 (0%)
Hematoma 1 (1.1%) 0 (0%) Readmission
Urinary leak 1 (1.1%) 0 (0%) No 46 (100%) 29 (96.7%) 0.828
Urinary retention 0 (0%) 2 (4.7%) Yes 0 (0%) 1 (3.3%)
Frequency of overall complication and reason for emergency consults and readmission Primary reason for readmission
in planned inpatient vs. planned same day RARP.
Hematuria 0 (0%) 1 (3.3%)
Frequency of overall complication and reason for emergency consults and readmission
in planned same-day LEP vs. inpatient.

S10 CUAJ • June 2022 • Volume 16, Issue 6(Suppl1)