THIRTY DAY RE-ADMISSION RATE AFTER SHORT STAY HYSTERECTOMY

Abstract

Background: Concept of short stay surgery is getting popular globally to maximize use of available health resources. The objective of the study was to determine thirty day readmission rate due to complications after short stay hysterectomy. Material & Methods: This descriptive cross sectional study was conducted in Department of Obstetrics & Gynae from 1st January 2018 to 31 December 2018. Sample size was 72. Sampling technique was consecutive, non-probability. Patients having obstetrical hysterectomy or co-morbidities needing prolonged hospital stay were excluded. Data collecting tool was specially designed proforma. The observation for readmission was spread over a span of 30 days. Our socio-demographic variables were age in years, parity, residence and education. Age and parity were measured on numerical scale and expressed as mean and SD. Education and residence were categorical variables. Research variables were type of hysterectomy and re-admission due to complications measured on nominal scale. Categorical were analyzed as frequency and percentages using SPSS version 17. Results: Out of 72 hysterectomies, 42(58.33%) were performed abdominally and 30(41.67%) were performed vaginally. In TAH group, 3(7.14%) patients and in VH group, 2(6.66%) patients had complications that required readmission. Pelvic Hematoma was found in 2(4.76%) patients of TAH group and in 1(3.3%) patients of VH group. Pelvic abscess was formed in VH group in 1(3.33%) of patients but not in TAH group. Urinary retention occurred in 1(2.38%) of TAH group but not in VH group. Conclusion: Short stay hysterectomy has lower re-admission rate due to less number of complications, with a view to explore ways to increase bed availability in our setup.