Factors associated with readmission after laparoscopic gastric bypass surgery

Hong, Brian; Stanley, E.C.; Reinhardt, Susan; Panther, Kristen; Garren, Michael; Gould, Jon C.

doi:10.1016/j.soard.2011.05.019

Cited by 62 publications

(31 citation statements)

References 24 publications

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“…The most common causes of ED visits were abdominal pain, nausea/vomiting, wound infections, and fever. Several previous international studies in different populations have shown similar reasons for readmission after weight loss surgery [28,29,30,31,45]. …”

Section: Discussionmentioning

confidence: 85%

“…Several adverse events and complications after bariatric surgery were observed in the readmissions or ED visits. The most frequent reasons for hospital readmission after bariatric surgery are abdominal pain, nausea, vomiting, wound infections, and dehydration [28,29,30], while the most frequent reasons for ED visits are abdominal pain, nausea, emesis, dizziness, gastritis, dehydration, pneumonia, renal failure, respiratory failure, infected wound, bowel obstruction, leak, and bleeding [31,32]. …”

Section: Introductionmentioning

confidence: 99%

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Readmissions and Emergency Department Visits after Bariatric Surgery at Saudi Arabian Hospital: The Rates, Reasons, and Risk Factors

et al. 2017

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Background: Saudi Arabian hospital readmissions and emergency department (ED) visits following bariatric surgery and discharge have never been investigated. This study aimed to evaluate the rates and reasons of hospital readmissions and ED visits related to surgical weight loss interventions at the King Abdulaziz Medical City - Riyadh. Methods: We conducted a retrospective cohort study on 301 patients who underwent bariatric surgery between January 2011 and July 2016. We reviewed patient medical records progressively to assess hospital readmission, ED visits, and complications. Results: Of the 301 patients analyzed, 67.1% were female and 93% had class II obesity.The readmission rate, ED visit rate after discharge and the rate of either of the two was 8%, 14%,and 18.3%, respectively. The most common causes of readmission were abdominal pain (37.5%), nausea/vomiting (29.2%), and site leak (25%), while the most common causes of ED visits were abdominal pain (59.5%) and nausea/vomiting (16.9%). Readmission rates tended to be higher in older patients (age of patients readmitted 42 ± 12.1 years vs. age of patients not readmitted 34.3 ± 11.8 years; p = 0.002). The rate of readmission tends to increase in patients with overweight or class I obesity (odds ratio (OR) = 20.15), diabetes (OR = 14.82), and obstructive sleep apnea (OR = 14.29). Dyslipidemia was positively associated with ED visits (p = 0.027, OR = 2.87). The rate of readmission or ED visits increased with age, while there were decreases in readmission and ED visits for those who had received gastric sleeve surgery. Conclusions: The study reported high rates of readmission and ED visits, thus the effectiveness of different types of weight loss surgeries should be further evaluated, particularly in individuals with complicated medical issues such as diabetes, dyslipidemia, and obstructive sleep apnea.

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Section: Discussionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Readmissions and Emergency Department Visits after Bariatric Surgery at Saudi Arabian Hospital: The Rates, Reasons, and Risk Factors

et al. 2017

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“…Readmissions can triple the healthcare resource use after gastric bypass [15], and rates of 30-day readmission are as high as 11 % in RYGB cohorts [16][17][18][19][20][21][22][23]. This therefore gives healthcare systems an impetus and a short timeframe to intensively target and study in an effort to improve efficiency.…”

Section: Discussionmentioning

confidence: 99%

“…Previous 30-day readmission rates for bariatric surgery vary widely and have been reported from 0.5 to 11 % [14][15][16][17][18][19][20][21][22][23]. Variance between these studies is largely due to cohort size and type of procedure that is predominant with adjustable gastric banding having considerably lower readmission and complication rates than in RYGB [26,27].…”

Section: Discussionmentioning

confidence: 99%

“…Readmission rates vary widely based on procedure type from 0.5 % after gastric banding to 11 % for Roux-en-Y gastric bypass (RYGB) [14][15][16][17][18][19][20][21][22][23]. Moreover, hospital use more than doubles after gastric bypass surgery [14], and readmissions after bariatric surgery can nearly triple riskadjusted health expenditure [15] in the first six months post-procedure.…”

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confidence: 99%

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