Evidence map›Paper›PMID 40011912›Full record

ArticleBMC nursing2025

Nurse-led discharge versus consulting surgeon-led discharge for patients who underwent laparoscopic surgeries: an evaluation of follow-up outcome, readmission frequencies, cost of care, and satisfaction of patients.

Bing Yang, Xiaotang Luo, Peiwei Wang, Pengfei Pan, Peishan Lin, Wenjie Zhao

Abstract read
In one paragraph

Article in BMC nursing, 2025. 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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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. Review
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

6 authors.

Bing YangOperating Room, the First Affiliated Hospital of Sun Yat-sen University, 58 Zhongshaner Er Road, Guangzhou, 510080, Guangdong, China.ORCID http://orcid.org/0009-0003-0081-4821
Xiaotang LuoOperating Room, the First Affiliated Hospital of Sun Yat-sen University, 58 Zhongshaner Er Road, Guangzhou, 510080, Guangdong, China.ORCID http://orcid.org/0009-0001-7004-5015
Peiwei WangOperating Room, the First Affiliated Hospital of Sun Yat-sen University, 58 Zhongshaner Er Road, Guangzhou, 510080, Guangdong, China.ORCID http://orcid.org/0009-0004-8358-6365
Pengfei PanOperating Room, the First Affiliated Hospital of Sun Yat-sen University, 58 Zhongshaner Er Road, Guangzhou, 510080, Guangdong, China.ORCID http://orcid.org/0009-0003-9902-3746
Peishan LinOperating Room, the First Affiliated Hospital of Sun Yat-sen University, 58 Zhongshaner Er Road, Guangzhou, 510080, Guangdong, China.ORCID http://orcid.org/0009-0009-2718-160X
Wenjie ZhaoOperating Room, the First Affiliated Hospital of Sun Yat-sen University, 58 Zhongshaner Er Road, Guangzhou, 510080, Guangdong, China. wzhao8682@gmail.com.ORCID http://orcid.org/0009-0000-5957-8120

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConsulting surgeons review admitted patients and make decisions regarding their fitness for discharge. This leads to a delay in discharge. Delayed hospital discharge is an issue faced by patients after laparoscopic surgery, which increases their morbidity. Thus, discharge for laparoscopic surgeries is a critical issue in healthcare.

objectivesTo evaluate the follow-up outcomes, readmission frequencies, cost of care, and satisfaction of patients who received nurse-led discharge compared to those of patients who received consulting surgeon-led discharge after laparoscopic surgeries.

methodsIn a retrospective study of electronic medical records gathered from the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China, of patients who underwent laparoscopic surgery received nurse-led discharge after final medical examinations by a senior nurse (NLD cohort, n = 105) or consulting surgeon-led discharge after final medical examinations by consulting surgeons (SLD cohort, n = 156). All patients received discharge prescriptions from consulting surgeons, with instructions.

resultsThere were no statistical differences between patients who received nurse-led discharges and consulting surgeon-led discharges for demographic and clinical characteristics, immediate postoperative complications during hospital stays (nausea, vomiting, headache, dizziness, and postoperative pain), total consumption of tramadol during hospital stay, total hospital stay, cost of care, and satisfaction of patients after follow-up (p > 0.05 for all). Fifteen (6%) patients (3 (3%) from the NLD cohort and 12 (8%) from the SLD cohort) were readmitted. The working area for consulting surgeon-led discharges had a beneficial score of 0-0.51 (between 5 and 11% readmission rate) and the working area for nurse-led discharges had a beneficial score of 0-0.81 (between 5 and 34% readmission rate). In possibilities of more than 11% and more than 34% of readmissions rate of patients with consulting surgeon-led discharges and nurse-led discharges, respectively, had a risk of complications during follow-up.

conclusionsAppropriate final medical examinations of patients after laparoscopic surgery are required for the decision to discharge through a nurse or consulting surgeon. Nurse-led discharge is as effective and safe as consulting surgeon-led discharge after laparoscopic surgery, in fact can improve patient care or cost efficiency. TECHNICAL EFFICACY: Stage 5. LEVEL OF EVIDENCE: IV.

Indexed as

Consulting surgeonHospital dischargeLaparoscopyNurse practicianPostoperative complicationsReadmission

Identifiers

PMID40011912
PMCPMC11863688

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LicenceCC BY-NC-ND
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Registered trials

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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.