Thirty-Day Readmission After Bariatric Surgery: Causes, Effects on Outcomes, and Predictors

Argueta, Pedro Palacios; Salazar, Miguel; Vargo, John J.; Chahal, Prabhleen; Rodriguez, John; Simons-Linares, C. Roberto; Thompson, Christopher C.

doi:10.1007/s10620-021-06934-2

Cited by 8 publications

(2 citation statements)

References 21 publications

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“…In several similar studies, patients usually complained of the typical problem of vomiting due to food intolerance [ 16 – 18 ]. In particular, readmission usually occurs within 30 days after primary discharge for index BMS, and dehydration was the most common reason for postoperative ED visits and readmission within 30 days after primary discharge [ 19 , 20 ]. Though no food tolerance surveillance was conducted in this study, most LINE® communication services focused on dietary problems in our group (47.97%) (Table 2 ).…”

Section: Discussionmentioning

confidence: 99%

“…Considering the faster recovery with early discharge for patients after BMS, LINE® consultation services could be used to recognize patients who indeed required further healthcare counseling to prevent possible adverse events leading to readmissions, such as dehydration or acute kidney injury [ 3 , 4 , 19 ]. Based on our results, most LINE® messages/calls (61.2%) came in within the first 30 days, which is the period during which patients are most vulnerable due to possible early postoperative complications after index BMS.…”

Section: Discussionmentioning

confidence: 99%

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eHealth Intervention via LINE® Social Media as an Adjunct for Postoperative Care After Bariatric-Metabolic Surgery: Single Institution Experience

et al. 2023

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Purpose Applying eHealth interventions via social media is common in modern medicine. LINE® is a popular communication app in Taiwan that can deliver messages 24 h a day. In addition to being free of charge, it also allows bariatric nurses (BNs) and patients to enjoy bidirectional communication via telecommunication services instead of direct, face-to-face contact for patients undergoing bariatric-metabolic surgery (BMS). We conducted this retrospective study to determine the frequency and reasons for early post-discharge of LINE® messages/calls and investigate the relationship between this frequency and contents of these messages and postoperative outcomes after BMS. Materials and Methods A retrospective review of prospectively collected data was conducted in an Asian weight management center. The study period ran from August 2016 to December 2021, and a total of 143 native patients with severe obesity were enrolled. All patients were informed of the necessity of a postoperative dietitian consultation before bariatric surgery. The patterns of LINE® communication with the BN and associated actions to resolve patients’ needs within 180 days after index BMS were analyzed. Results Among the 143 enrolled patients, 100 underwent laparoscopic sleeve gastrectomy and 43 underwent laparoscopic Roux-en-Y gastric bypass. A total of 1205 messages/calls were analyzed concomitantly; most LINE® communications focused on diet problems (47.97%; n = 578), weight problems (11.54%; n = 139), and medications (9.21%; n = 111). Most problems could be resolved by LINE® communications directly, and only a small portion (5.6%) was directed to local clinics or emergency departments. During the COVID-19 pandemic, the usage of LINE® communications significantly increased (12.2 ± 10.4 vs. 6.4 ± 4.9; p < 0.01); nonetheless, a higher frequency of LINE® communications would not hinder the regular clinic visits ( r = 0.359; p = 0.01). Conclusion Based on our limited experience, the LINE® consultation service operated by the BN could effectively address patients’ problems. Moreover, it might reduce the need for emergency department visits or unexpected clinic appointments for patients after BMS. Graphical Abstract

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