Length of stay and impact on readmission rates after laparoscopic gastric bypass

Baker, Matthew T.; Lara, Michael D.; Larson, Christopher J.; Lambert, Pamela J.; Mathiason, Michelle A.; Kothari, Shanu N.

doi:10.1016/j.soard.2006.02.006

Cited by 32 publications

(25 citation statements)

References 18 publications

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“…A study is needed to assess the relationship between comorbid conditions and the reasons for readmission. Our study finding is similar to those of several international studies that assessed the rate of hospital readmissions and complications following bariatric surgery, with reported rates ranging between 0.6 and 11.75% [24,28,38,39,40,41,42,43,44]. Our study reported that 18% had ED visits following surgery.…”

Section: Discussionsupporting

confidence: 90%

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: Discussionsupporting

confidence: 90%

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%

“…Though none of the bariatric cohorts looked at complications during index procedure, three major cohorts of major abdominal surgery did and found that complications during index admission were associated with a 1.3-4 times higher risk of 30-day readmission [5][6][7]. Furthermore, four bariatric studies found that prolonged length of stay during index admission [18][19][20]23] was independently associated with readmission at 30 days. Within these studies, three of them defined a prolonged length of stay as greater than 3 days [19,20,23], while the other defined it as greater than 2 days [18].…”

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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30-Day readmission after bariatric surgery in a publicly funded regionalized center of excellence system

2015

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30-Day readmission rates at a high volume bariatric surgery center: Laparoscopic adjustable gastric banding, laparoscopic gastric bypass, and vertical banded gastroplasty-Roux-en-Y gastric bypass

Saunders¹,

Ballantyne²,

Belsley³

et al. 2007

OBES SURG

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Length of stay and impact on readmission rates after laparoscopic gastric bypass

Cited by 32 publications

References 18 publications

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

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

30-Day readmission after bariatric surgery in a publicly funded regionalized center of excellence system

30-Day readmission rates at a high volume bariatric surgery center: Laparoscopic adjustable gastric banding, laparoscopic gastric bypass, and vertical banded gastroplasty-Roux-en-Y gastric bypass

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