Evidence map›Paper›PMID 39516407›Full record

ArticlePediatric surgery international2024

Same-day discharge for pediatric Nuss procedure; an analysis of the NSQIP-pediatric database from 2017-2022.

John M Woodward, Ali M A Khan, Stephanie F Brierley, Krystle Bittner, Hector Osei, Keihan Mostafavi, Carroll M Harmon, P Benson Ham

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Article in Pediatric surgery international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

John M WoodwardDepartment of Surgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, 14215, USA.ORCID http://orcid.org/0000-0002-6730-950X
Ali M A KhanJacobs School of Medicine and Biomedical Sciences, Buffalo, NY, 14215, USA.
Stephanie F BrierleyDepartment of Surgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, 14215, USA.
Krystle BittnerDivision of Pediatric Surgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, 1001 Main St., Buffalo, NY, 14215, USA.
Hector OseiDivision of Pediatric Surgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, 1001 Main St., Buffalo, NY, 14215, USA.
Keihan MostafaviDivision of Pediatric Surgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, 1001 Main St., Buffalo, NY, 14215, USA.
Carroll M HarmonDivision of Pediatric Surgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, 1001 Main St., Buffalo, NY, 14215, USA.
P Benson HamDivision of Pediatric Surgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, 1001 Main St., Buffalo, NY, 14215, USA. pham1@kaleidahealth.org.ORCID http://orcid.org/0000-0002-7240-1239

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLimited data exists evaluating same-day discharge for pediatric Nuss procedure; most being single-center studies. Our analysis, using the NSQIP-P registry, aimed to assess if same-day discharge for the Nuss procedure influenced post-operative outcomes.

methodsThe NSQIP-P database (2017-2022) identified patients who underwent the Nuss procedure. Patients discharged same-day postoperatively (SDD) were compared to those discharged 1-7 days postoperatively (non-SDD).

resultsOf 5486 patients identified, 91 (1.7%) were SDD. From 2018 to 2022, the annual SDD rate increased from 0.8% to 2.7%. There was no significant difference between SDD and non-SDD groups for 30-day readmission (1.1% vs 3.5%, p = 0.376), reoperation (0% vs 1.5%, p = 0.643), or other outcomes. Twenty-six patients required readmission or reoperation within 3-days; only one underwent SDD. The most common readmission was for pain (n = 4) and reoperation for chest-tube placement (n = 10). Asthma (OR 1.66, 95% CI 1.03-2.67, p = 0.038), and increased operative time (per 10 min increment: OR 1.060, 95% CI 1.034-1.086, p < 0.001) each increased risk of readmission or reoperation.

conclusionSame-day discharge for the Nuss procedure, although infrequent, has increased without significant differences in complications in the 91 patients who were discharged same-day in this analysis. Same-day discharge for Nuss procedure is reasonable for non-asthmatic patients with a satisfactory postoperative x-ray and meeting other goal-based discharge criteria, including adequate pain control. LEVEL OF EVIDENCE (I-V): Level III.

Indexed as

Databases, FactualFunnel ChestPatient DischargePatient ReadmissionPostoperative ComplicationsAdolescentChildChild, PreschoolFemaleHumansMaleRegistriesReoperationRetrospective StudiesNSQIPNuss procedureOvernight stayPectus excavatumPediatric surgerySame day discharge

Identifiers

PMID39516407

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.