Incidence, Burden, and Predictors of 11-Month Readmission in Patients Undergoing Bariatric Surgery

Kim, Do Han; Lukens, Frank; Ko, Dong Hyuk; Salazar, Miguel; Kröner, Paul T.; Elli, Enrique F.; Kumbhari, Vivek; Argueta, Pedro Palacios

doi:10.1007/s11695-022-06343-y

Cited by 4 publications

(3 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The diagnosis of Cannabis Use Disorder (CUD) may lead to variability in post-operative outcomes in the bariatric population. The re-admission rate after bariatric surgery is estimated to be 11.1% and CUD has been shown to be an independent predictor of readmission after bariatric surgery (aHR 3.37, 95% CI [1.05-10.01], P = 0.01) [20]. In the large study done by Shah et al, they describe that bariatric patients with CUD were more likely to experience a medical complication including myocardial infarction, cardiac arrest, venous thromboembolism, pulmonary embolism, respiratory arrest, pneumonia, sepsis, stroke, or urinary complications (4.8% vs 1.8%, P < 0.0001).…”

Section: Effects Of Cannabis On Postoperative Complications and Morta...mentioning

confidence: 99%

Perioperative Cannabis Use in Bariatric Patients: A Review of Outcomes and Proposed Clinical Pathway for Management

Maceyko,

Neff,

Halevy

et al. 2024

OBES SURG

View full text Add to dashboard Cite

Legalization of marijuana has led to increased prevalence of medical and recreational cannabis use, underscoring the importance for anesthesiologists, surgeons, and perioperative physicians to understand the effects of this drug in patient care. Bariatric surgical patients represent a unique target population to understand peri-operative cannabis use and its effects as these patients undergo an extensive preoperative psychological and nutritional evaluation. Standardized guidelines on cannabis use in bariatric surgery are lacking and many clinicians remain uncertain on how to handle cannabis use in the peri-operative period. Here, we summarize the data on cannabis use in bariatric patients, specifically exploring anesthetic considerations, weight loss, complications, mortality, and psychiatric outcomes. We propose a clinical pathway to assist clinicians with perioperative decision making in bariatric patients who use marijuana.

show abstract

Section: Effects Of Cannabis On Postoperative Complications and Morta...mentioning

confidence: 99%

Perioperative Cannabis Use in Bariatric Patients: A Review of Outcomes and Proposed Clinical Pathway for Management

Maceyko,

Neff,

Halevy

et al. 2024

OBES SURG

View full text Add to dashboard Cite

show abstract

“…The bariatric surgical patient population is unique in that the scheduled surgery is elective yet associated with a non-insignificant risk profile 8 , 9 . Risk factors for various outcomes, such as readmission, morbidity, and mortality, have been studied extensively; however, the identified risk factors are often limited to medical comorbidities, major postoperative complications, or socioeconomic determinants of health 10 – 14 . The modest incidence of postoperative complications therefore makes this population ideal for investigating the relationship between functional status and adverse perioperative outcomes.…”

Section: Introductionmentioning

confidence: 99%

Impact of functional status on 30-day resource utilization and organ system complications following index bariatric surgery: a cohort study

Holley,

Knio,

Pham

et al. 2023

International Journal of Surgery

View full text Add to dashboard Cite

Background: Bariatric surgical procedures carry an appreciable risk profile despite their elective nature. Identified risk factors for procedural complications are often limited to medical comorbidities. This study assesses the impact of functional status on resource utilization and organ system complications following bariatric surgery. Materials and methods: This retrospective cohort study analyzed patients undergoing elective, index bariatric surgery from American College of Surgeons National Surgical Quality Improvement Program participating hospitals from 2015 to 2019 (n=65627). The primary independent variable was functional status. The primary outcome was unplanned resource utilization. Secondary outcomes included composite organ system complications and mortality. The impact of functional status was first investigated with univariate analyses. Survival and multivariate analyses were then performed on select complications with clinically and statistically significant incidence in the dependent cohort. Results: On univariate analysis, dependent functional status was associated with unplanned resource utilization (12.1% [27/223] vs 4.1% [2661/65404]; relative risk [RR], 2.98 [95% CI, 2.09 to 4.25]; P < 0.001) and hematologic/infectious complications (6.7% [15/223] vs 2.4% [1540/65404]; RR, 2.86 [95% CI, 1.75 to 4.67; P < 0.001). Survival analysis demonstrated a significantly shorter time to both events in patients with dependent functional status (P < 0.001). On multivariate analysis, dependent functional status was an independent predictor of unplanned resource utilization (adjusted odds ratio [AOR] 2.17 [95% CI, 1.27 to 3.50]; P = 0.003; model c-statistic, 0.572) and hematologic/infectious complications (AOR, 2.20 [95% CI, 1.14 to 3.86]; P = 0.011; model c-statistic, 0.579). Conclusion: Patients with dependent functional status are at an elevated risk of unplanned resource utilization and hematologic/infectious complications following index bariatric surgery. The increased risk cannot be explained by medical comorbidities alone.

show abstract

“…Kim et al 26 2022 Study on predictors of readmission post-bariatric surgery, targeting modifiable predictors to alleviate healthcare system burdens.…”

mentioning

confidence: 99%

Surgical techniques in bariatric surgery: minimally invasive approaches and long-term outcomes

Veloz,

Pinto,

Pérez

et al. 2024

Int J Res Med Sci

View full text Add to dashboard Cite

Obesity is a worldwide epidemic, and current weight loss strategies frequently do not effectively tackle the problem. Bariatric surgery effectively addresses this issue. A systematic research study was done to investigate minimally invasive bariatric operations, using 32 studies from a pool of 2,118 data. Bariatric surgery was found to greatly assist in weight reduction and enhance general health results. Procedures such as gastric balloon, gastric banding, and gastric bypass can decrease the weight of obese people and alleviate associated health conditions. Sleeve gastrectomy is highly successful and yields favorable long-term results. The procedure used relies on the patient's health and the surgeon's discretion. The primary risk factor is the recurrence of weight or the need for revision surgery. Ultimately, bariatric procedures provide weight loss and long-term health benefits, but it is important to acknowledge the associated surgical risks. Immediate dangers include of blood clotting, intestine blockage, bleeding, infections, abdominal pain, nausea, heartburn, vomiting, ulcers, and other issues associated with surgery. Long-term consequences include of dumping syndrome, starvation, and weight regain.

show abstract

Incidence, Burden, and Predictors of 11-Month Readmission in Patients Undergoing Bariatric Surgery

Cited by 4 publications

References 37 publications

Perioperative Cannabis Use in Bariatric Patients: A Review of Outcomes and Proposed Clinical Pathway for Management

Perioperative Cannabis Use in Bariatric Patients: A Review of Outcomes and Proposed Clinical Pathway for Management

Impact of functional status on 30-day resource utilization and organ system complications following index bariatric surgery: a cohort study

Surgical techniques in bariatric surgery: minimally invasive approaches and long-term outcomes

Contact Info

Product

Resources

About