Perioperative medicine & outcomes

Post-anesthesia care unit (PACU) discharge: equally safe and more cost-effective than floor admission for uncomplicated laparoscopic appendectomy

Perioper Med (Lond)Published Retrospective cohort study

Authors' conclusion

Direct discharge from the PACU following uncomplicated laparoscopic appendectomy is both safe and cost-effective compared to floor admission.

Study context

Population
Adults with uncomplicated appendicitis undergoing laparoscopic appendectomy, January 2021–December 2023
Participants
203 adults
Exposure
Direct PACU discharge vs floor admission
  • PACUn = 103
  • Floorn = 100reference
Outcome
30-day readmission, reoperation and postoperative complications
Follow-up
30 days

Main finding

As reported in the abstract

30-day readmission, reoperation, complications
  • No significant differences in 30-day readmission, reoperation or complications between groups

Observational data: associations, not effects.

Secondary outcomes

Hospital stay · significantly shorter with PACU discharge

P < 0.001

Average $

OutcomePACUFloor
Costs (charges)27,73931,593

Costs (charges)

Lower costs with PACU discharge, primarily due to reduced labor costs

Demographics

PACU patients younger with fewer comorbidities than floor patients

Original publication

PACU discharge: equally safe and more cost-effective than floor admission for uncomplicated laparoscopic appendectomy. Perioper Med (Lond). Published 5 March 2025. doi:10.1186/s13741-025-00511-1

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.