{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T14:55:57Z","timestamp":1792594557360,"version":"4.5.0"},"reference-count":27,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,8,13]],"date-time":"2020-08-13T00:00:00Z","timestamp":1597276800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,8,13]],"date-time":"2020-08-13T00:00:00Z","timestamp":1597276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,8,13]],"date-time":"2020-08-13T00:00:00Z","timestamp":1597276800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Single\u2010day discharge is a common practice among patients undergoing laparoscopic appendectomy (LA). We aimed to determine risk factors associated with readmission in patients with short hospital stay after LA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective analysis of all patients who underwent LA during the period 2006\u20132019. Patients with length of hospital stay shorter than 24 h were included. Demographics, operative variables, and postoperative outcomes were analyzed. Multivariable logistic regression was performed to determine risk factors for readmission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 2009\u00a0LA were performed during the study period; 1506 (75%) patients had short hospital stay and were included in the analysis. Median age was 31 (14\u201385) years, and 720 (48%) were female. Mild peritonitis was diagnosed in 423 (28%) patients, and 121 (8%) had gangrenous\/perforated appendicitis. Mean surgical time was 51(14\u2013180) min. Conversion rate was 0.4%. There were 143 (9%) postoperative complications, including 29 (1.9%) patients with postoperative intra\u2010abdominal abscess. Nine patients (0.6%) underwent reoperation, and only 26 (1.7%) patients were readmitted. The mean time to hospital readmission was 6 (1\u201314) days. Although age &gt;50 years, obesity, mild peritonitis, and complicated appendicitis were more frequent among patients readmitted, only age &gt;50 years (OR 3.54 95% CI 1.51\u20138.30) and mild peritonitis (OR 6.16 95% CI 1.80\u201334.93) were found as independent risk factors for readmission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Most patients undergoing LA can be safely discharged within 24 h of admission. Patients over 50 years old and\/or with localized peritonitis have significantly higher risk of readmission and therefore may need a closer postoperative follow\u2010up.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-020-05730-9","type":"journal-article","created":{"date-parts":[[2020,8,13]],"date-time":"2020-08-13T18:04:01Z","timestamp":1597341841000},"page":"4006-4011","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Risk Factors for Readmission After Short\u2010Hospital\u2010Stay Laparoscopic Appendectomy"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7833-9416","authenticated-orcid":false,"given":"Cristian A.","family":"Angeramo","sequence":"first","affiliation":[{"name":"Department of Surgery Hospital Alem\u00e1n of Buenos Aires 1640 Pueyrredon Ave, Capital Federal Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas H.","family":"Dreifuss","sequence":"additional","affiliation":[{"name":"Department of Surgery Hospital Alem\u00e1n of Buenos Aires 1640 Pueyrredon Ave, Capital Federal Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayelen A.","family":"Olivero","sequence":"additional","affiliation":[{"name":"Department of Surgery Hospital Alem\u00e1n of Buenos Aires 1640 Pueyrredon Ave, Capital Federal Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel E.","family":"Sadava","sequence":"additional","affiliation":[{"name":"Department of Surgery Hospital Alem\u00e1n of Buenos Aires 1640 Pueyrredon Ave, Capital Federal Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"Schlottmann","sequence":"additional","affiliation":[{"name":"Department of Surgery Hospital Alem\u00e1n of Buenos Aires 1640 Pueyrredon Ave, Capital Federal Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,13]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002188"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017\u2010016\u20100090\u20105"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010018\u20106315\u20109"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017\u2010018\u20100191\u20104"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010015\u20103266\u20103"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010007\u20109492\u20105"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3182ab0d42"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2016.10.026"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/08941939.2019.1630065"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010017\u20103869\u2010y"},{"key":"e_1_2_8_12_1","unstructured":"LaxagueF SchlottmannF PiattiJMet al. 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Angeramo, Nicolas H. Dreifuss, Ayelen A. Olivero, Emmanuel E. Sadava, and Francisco Schlottmann have no conflict of interest, financial ties, or funding\/support to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The institutional review board (IRB) approved this study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"The written informed consent was waived by the IRB owing to the study\u2019s retrospective nature.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}