{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T23:57:30Z","timestamp":1781049450003,"version":"3.54.1"},"reference-count":0,"publisher":"Pasifika Medical Association Group","issue":"1636","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NZMJ"],"abstract":"<jats:p>background: Same-day discharge (SDD) following laparoscopic appendicectomy is internationally recognised as safe and effective,\nyet remains under-utilised in New Zealand. This study evaluates the safety and feasibility of SDD at Christchurch Hospital.\nmethods: A retrospective review of adults undergoing laparoscopic appendicectomy for uncomplicated appendicitis between June\n2015 and March 2024 was conducted using data from the SCOPE management system. Patients were divided into SDD (discharged\nbefore midnight) and delayed discharge (post-operative days 1\u20132) groups. The primary outcome was the complication rate (Clavien-\nDindo grade \u22653); the secondary outcome was 30-day readmission.\nresults: Of 2,258 patients, 213 (9.4%) were discharged the same day and 2,045 (90.6%) after at least 1 night. Baseline demographics\nwere similar except for age (32.2 vs 29.9 years, p=0.008) and sex (female 55.1% vs 37.6%, p&lt;0.001). There were no significant differences\nin complication (0% vs 0.6%, p=0.626) or readmission rates (7.0% vs 6.7%, p=0.775). Morning operations were significantly more likely\nto result in SDD (74.6% vs 26.3%, p&lt;0.0001).\nconclusion: SDD after laparoscopic appendicectomy for uncomplicated appendicitis is safe and effective without increasing\ncomplications or readmissions. Implementing structured SDD protocols could enhance hospital efficiency and reduce costs.<\/jats:p>","DOI":"10.26635\/6965.7428","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T23:05:51Z","timestamp":1781046351000},"page":"60-65","source":"Crossref","is-referenced-by-count":0,"title":["Same-day discharge for acute appendicectomy is safe: experience from a tertiary New Zealand hospital"],"prefix":"10.26635","volume":"139","author":[{"given":"Stacey","family":"Caldwell","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathew","family":"Morreau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Richards","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11177","published-online":{"date-parts":[[2026,6,12]]},"container-title":["New Zealand Medical Journal"],"original-title":[],"deposited":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T23:05:53Z","timestamp":1781046353000},"score":1,"resource":{"primary":{"URL":"https:\/\/nzmj.org.nz\/journal\/vol-139-no-1636\/same-day-discharge-for-acute-appendicectomy-is-safe-experience-from-a-tertiary-new-zealand-hospital"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,12]]},"references-count":0,"journal-issue":{"issue":"1636","published-online":{"date-parts":[[2026,6,12]]}},"URL":"https:\/\/doi.org\/10.26635\/6965.7428","relation":{},"ISSN":["1175-8716"],"issn-type":[{"value":"1175-8716","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,12]]}}}