One-year 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

Saunders, John K.; Ballantyne, Garth H.; Belsley, Scott; Stephens, Daniel J.; Trivedi, Amit; Ewing, Douglas R.; Iannace, Vincent A.; Capella, Rafael F.; Wasileweski, Annette; Moran, Steven L.; Schmidt, Hans

doi:10.1007/s11695-008-9517-8

Cited by 62 publications

(33 citation statements)

References 22 publications

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“…For example, BMI was not recorded in the discharge data and although it can be assumed that all patients met the criteria for morbid obesity, the effect of BMI on operative outcomes could not be ascertained. Readmission beyond 30 days was not captured within this study, though evidence shows the most resource-intensive admission occurs within the first 30 days [16,31]. There was also heterogeneity between centers and surgeon practices which could not be controlled for though all centers met criteria for OBN center of excellence designation previously described [24].…”

Section: Discussionmentioning

confidence: 91%

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

2015

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Section: Discussionmentioning

confidence: 91%

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

2015

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“…Both figures were significantly higher when compared to the 1.2 % readmission rate of the laparoscopic adjustable gastric band (LAGB). Saunders et al [7] in an analysis of 1939 bariatric procedures found that 18.8 % required hospital readmission within the first year after surgery. Laparoscopic Roux-en-Y gastric bypass (LRYGB) had a readmission rate of 24.2 %, and the LAGB had the lowest readmission rate (12.69 %).…”

Section: Discussionmentioning

confidence: 99%

Analysis of Causes and Risk Factors for Hospital Readmission After Roux-en-Y Gastric Bypass

et al. 2015

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“…Doumouras et al [35] reported a readmission rate of 6.1% over a period of 3 years. Saunders et al [36] reported 1-year readmission rate of 18.8%. …”

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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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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One-year 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

Abstract: Rates of readmissions for patients undergoing bariatric surgery center at our high-volume center decreased over time and are comparable to other major abdominal operations.

Cited by 62 publications

References 22 publications

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

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

Analysis of Causes and Risk Factors for Hospital Readmission After Roux-en-Y Gastric Bypass

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

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