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ISMICS 2026 Annual Meeting
10 - 13 June, 2026 | Miami, Florida
P63
Is Early Discharge After Robotic Surgery Safe And Feasible? A Propensity-matched Analysis Of Robotic And Non-robotic Cardiac Surgery
Poster Presenter
Authors
Affiliations
Part of Topic
ERAS
Early Discharge After Cardiac Surgery Is Safe Across Robotic and Non-Robotic Approaches: A Propensity-Matched Analysis
Anvith Ramadugu, BS1, Lily G. Bessette, MS1,3, Xander Jacquemyn, MD1, Yisi Wang, MPH2, Floyd Thoma, BS2,Takuya Ogami, MD1,2, Johannes Bonatti, MD1,2, Derek Serna-Gallegos, MD1,2, David Kaczorowski, MD1,2, DannyChu, MD1,2, Irsa Hasan, MD1,2.
1Department of Cardiothoracic Surgery, Division of Cardiac Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
2 Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
3 Department of Epidemiology, University of Pittsburgh, School of Public Health, Pittsburgh, Pennsylvania, USA.
INTRODUCTION:
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Enhanced Recovery After Surgery (ERAS) protocols have made earlier discharge following cardiac surgery increasingly common. However, some surgeons remain hesitant because the potential adverse effects of early discharge are not yet fully understood.
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Objective: To compare postoperative outcomes between robotic and non-robotic cardiac surgery patients discharged early versus late.
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Hypothesis: Early discharge after cardiac surgery is not associated with an increased risk of major adverse events in the immediate postoperative period, at 30days, or at 1 year.
METHODS:
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Data: Retrospective cohort study of electronic health records from a multi-hospital academic institution.
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Study population: Adults undergoing isolated cardiacsurgery (e.g., CABG, AVR, MVR) and were dischargedalive between 2010-2025.
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Exposure: Early (≤3 days) vs. late (>3 days) discharge.
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Outcome: Major adverse cardiac and cerebrovascularevents (MACCE) at 30 days and 1 year postoperatively. Secondary outcomes include perioperative events, death, readmission, and atrial fibrillation.
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Statistical analysis: Propensity score–matching, followed by Poisson regression (MACCE), and McNemar’s test (secondary outcomes).
TAKEAWAYS:
Early discharge (≤3 days) after elective, isolated cardiac surgery was not associated with increased risk of adverse outcomes across either robotic or non-robotic surgical approaches. These findings support the safety and feasibility of early discharge in appropriately selected low-risk patients.