Characterization of urgent versus nonurgent early readmissions (&lt;30 days) following primary bariatric surgery: a single-institution experience

Levene, Katelyn A.; Shah, Kejal; Needleman, Bradley; Noria, Sabrena

doi:10.1016/j.soard.2021.01.042

Surgery for Obesity and Related Diseases

2021

DOI: 10.1016/j.soard.2021.01.042

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Characterization of urgent versus nonurgent early readmissions (<30 days) following primary bariatric surgery: a single-institution experience

Katelyn A. Levene

Kejal Shah

Bradley Needleman

et al.

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Cited by 4 publications

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“…Bariatric surgery has been shown to provide effective and durable solutions for obesity [ 1 ]. However, early non-urgent readmissions following bariatric surgery persist, with a previous study by our group demonstrating a rate of 3.3 percent [ 2 ]. Readmission rates are an important quality metric for hospitals, particularly in surgical specialties [ 3 ].…”

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Impact of post-discharge phone calls on non-urgent hospital returns < 90 days following primary bariatric surgery

et al. 2022

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Introduction Quality of care delivery may improve patient outcomes post-bariatric surgery. We examined the quality of post-discharge phone calls (Ph DC ) to determine the impact on early (< 90 day) non-urgent hospital returns (NUHR) following primary bariatric surgery. Methods A retrospective review was performed on patients who underwent Roux-en-Y-gastric bypass (RYGB) or sleeve gastrectomy (SG) in 2019. Patients were compared between presence of care coaching (Jan–June 2019) versus no care coaching (July–Dec 2019). Baseline demographics, comorbidities, psychiatric history, and Ph DC were collected. Index Ph DC s were coded for completeness using a scoring system and rated by call quality. Patients were stratified into NUHR versus control group (Never returns [NR]). Primary analysis examined the impact of Ph DC on NUHR. Sub-analysis examined the impact of call quality. Univariate analysis was performed using Chi-square or Fisher’s exact tests. Multivariate analysis (MVA) was used to determine predictors of NUHR. A p -value of ≤ 0.05 was statistically significant. Results A total of 359 patients were included. Compared to the NR group ( n = 294), NUHRs ( n = 65) were more likely to be younger (41.3 + 12.1 versus 45.0 + 10.8 years, p = 0.024), with baseline anxiety (41.5% versus 23.5%, p = 0.003), and undergo RYGB (73.3% versus 57.8%, p = 0.031). There was a significant difference in number of Ph DC in the NUHR and NR groups ( p = 0.0206). Care-coached patients had significantly higher rates of high-quality phone calls ( p < 0.0001) compared to non-care-coached patients. MVA demonstrated younger age (OR = 0.97, CI: 0.95–1.00; p = 0.023), anxiety (OR = 2.09, CI: 1.17–3.73; p = 0.012), RYGB (OR = 1.88, CI: 1.02–3.45; p = 0.042), and > 50% call quality versus no Ph DC (OR = 0.45, CI: 0.25–0.83; p = 0.010) were independently associated with NUHRs. Conclusion High-quality Ph DC s may play a role in mitigating NUHRs. Care coaching represents a potential intervention to decrease high rates of NUHR in primary bariatric surgery patients.

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Impact of post-discharge phone calls on non-urgent hospital returns < 90 days following primary bariatric surgery

et al. 2022

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Comparison of early post-operative complications in primary and revisional laparoscopic sleeve gastrectomy, gastric bypass, and duodenal switch MBSAQIP-reported cases from 2015 to 2019

et al. 2023

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An analysis of readmission trends by urgency and race/ethnicity in the MBSAQIP registry, 2015–2018

O’Neill

Needleman

Narula

et al. 2022

Surgery for Obesity and Related Diseases

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Characterization of urgent versus nonurgent early readmissions (<30 days) following primary bariatric surgery: a single-institution experience

Cited by 4 publications

References 27 publications

Impact of post-discharge phone calls on non-urgent hospital returns < 90 days following primary bariatric surgery

Impact of post-discharge phone calls on non-urgent hospital returns < 90 days following primary bariatric surgery

Comparison of early post-operative complications in primary and revisional laparoscopic sleeve gastrectomy, gastric bypass, and duodenal switch MBSAQIP-reported cases from 2015 to 2019

An analysis of readmission trends by urgency and race/ethnicity in the MBSAQIP registry, 2015–2018

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