ICU sedation, delirium & recovery
Same-day Ileostomy Closure Discharge Reduces Costs Without Compromising Outcomes: An Economic Analysis
Authors' conclusion
Implementation of the SDD for DLI closure is associated with substantial cost savings without compromising patient outcomes.
Study context
- Population
- Patients undergoing diverting loop ileostomy closure at Mayo Clinic, Rochester and Jacksonville, August 2020 to February 2023matched on age, sex, ASA score, period, hospital
- Participants
- 118 vs 236
- Comparison
- Same-day discharge (SDD) vs Inpatient
- SDDn = 118
- Inpatientn = 236reference
- Outcome
- Direct hospitalization costs and additional costs in the 30 days postdischarge
- Follow-up
- 30 days postdischarge
Methodological detailsmatched cohort, multicentre
- Matched cohort
- Multicentre
Main finding
As reported in the abstract
Median index episode hospitalization and 30-day postoperative costs
Significant reduction in median costs in SDD vs inpatient; savings per patient
$4827
Observational data: associations, not effects.
Safety
- Complication, readmission and reoperation rates similar
Original publication
Same-day Ileostomy Closure Discharge Reduces Costs Without Compromising Outcomes: An Economic Analysis. Ann Surg. Published 28 March 2024. doi:10.
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