Women who had a hysterectomy (removal of the uterus) by robotically assisted surgery were 24 percent to 32 percent more likely to return to the hospital for follow-up care, whether for readmission, emergency department care or an outpatient department procedure, according to a new AHRQ study. Using 2011 data from AHRQ’s Healthcare Cost and Utilization Project, researchers compared hospital-based revisit rates for robotically assisted and conventional hysterectomy within 30 days of initial discharge. Women ages 30 and older with nonmalignant conditions were studied, representing more than 86,000 inpatient hysterectomies from eight states and more than 29,000 outpatient hysterectomies from four of those states. Common reasons for follow-up care after a robotically assisted hysterectomy included surgical complications, hospital-acquired infections, postoperative pain, pulmonary embolisms and digestive disorders. Among other findings, the study showed that robotically assisted hysterectomies were more frequently performed in ambulatory settings (33 percent) than in hospital inpatient settings (11 percent). The study, “Hospital Revisits Within 30 Days After Conventional and Robotically Assisted Hysterectomy,” and abstract were published in the January 12 issue of Medical Care.
Med Care. 2016 Jan 12. [Epub ahead of print]
Hospital Revisits Within 30 Days After Conventional and Robotically Assisted Hysterectomy.
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