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It serves a population of 320,000 inhabitants and has 426 beds for conventional stays, 28 Surgical Day Hospital beds and 15 Medical Day Hospital beds.
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Conventional stay patients expressed more frustration with the restrictions of being in hospital.
There were more seroma aspirations in the conventional stay group (median 1.5 vs 1).
Two patients in the early discharge group and one in the conventional stay group returned to theatre for evacuation of a haematoma before they were discharged.
Time taken off work by carers was similar in both groups (mean hours 24.07 955% CI 8.63 39.51) for early discharge vs mean hours 29.11 955% CI 6.76 51.46) for conventional stay).
The conventional stay group had worse scores for pain and numbness in the breast, arm or axilla, but these differences were not statistically significant at any time point.
As a percentage increase, this difference was 9.9%9595% CI 6.8 12.9) in the early discharge group and 7%9595% CI 2.7 11.4) in the conventional stay group.
Only nine out of 23 (39%) community nurses of patients in the conventional stay group were aware that their patient had been discharged from hospital.
Questionnaires were sent to community nurses of all patients in the study and in depth interviews were carried out with the hospital-based breast care nurses to ascertain their views on early discharge or conventional stay.
When asked about their main concerns during the postoperative period, a greater proportion of carers in the conventional stay group (69 vs 40%) provided comments at both 2 weeks and 4 weeks after surgery.
At 2 weeks postoperatively, conventional stay patients were significantly more likely to have a wound infection and be on antibiotics (nine patients (18.4%) vs two patients (4%) P=0.019), but there were no significant differences between the groups at 4 weeks.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com