Risk Factors Associated with Prolonged Hospital Stay and Readmission in Patients After Primary Bariatric Surgery

Nijland, Leontien M G; Castro, S. M. M. de; Veen, Ruben N van

doi:10.1007/s11695-020-04507-2

Cited by 15 publications

(16 citation statements)

References 40 publications

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“…The rates of emergency room visits, readmissions, and interventions were comparable with previous studies who describe these rates in patients with 1 overnight hospital stay including our previously published cohort study which analyzed risk factors for prolonged hospital stay and readmission after primary bariatric surgery and found similar ER presentation rate of 9.5%, intervention rate of 1.7%, and readmission rate of 5.3% within 30 days after discharge [22,23].…”

Section: Discussionsupporting

confidence: 87%

“…Patients with super obesity (BMI >50 m2/kg) have higher perioperative risks and are less suitable for SDD [24]. The selection criteria for SDD in the present study were based on previously published patient-specific risk factors associated with complications in bariatric surgery and prolonged hospital stay and expert opinion [23,25].…”

Section: Discussionmentioning

confidence: 99%

“…To obtain information about the safety of same-day discharge and remote monitoring, adverse outcomes were analyzed including complications ranked using the Clavien-Dindo classification [23], emergency room presentations, readmissions, and mortality. A local Data Safety Monitoring Board (DSMB) was established to warrant ongoing safety of patients treated with the study protocol.…”

Section: Secondary Study Parametersmentioning

confidence: 99%

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Feasibility of Same-Day Discharge After Laparoscopic Roux-en-Y Gastric Bypass Using Remote Monitoring

et al. 2021

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Background Shortening of hospital stay to 1 night has not affected the short-term safety of patients undergoing laparoscopic Roux-en-Y gastric bypass (RYGB). Whether the RYGB is feasible in an ambulatory setting (same-day discharge) without overnight hospital stay remains to be answered. We aimed to evaluate the feasibility of same-day discharge after laparoscopic Roux-en-Y gastric bypass (RYGB) using additional live video consultation and remote monitoring. Same-day discharge (SDD) was defined as surgery without postoperative overnight hospital stay. Methods This was a single-center prospective feasibility study in a selected group of patients undergoing a RYGB. Fifty patients undergoing a primary RYGB were selected and potentially treated following the SDD protocol. After SDD discharge patients were remotely monitored after surgery for 48 h using a medical device measuring vital signs three times a day. Video consultations were performed by a doctor twice a day for 2 postoperative days. Primary outcome was the success rate (%) of SDD. Secondary outcomes were emergency room presentations, readmissions, early complications (<30 days), and patient satisfaction. Results A total of 50 patients were selected for the SDD treatment protocol between June 2020 and November 2020. An SDD success rate of 88 % (44/50 patients) was achieved. Five patients (10%) presented at the emergency room, 2 of whom (4%) were readmitted because of a complication within 30 days after surgery. Overall, patients who followed the SDD protocol reported high satisfaction scores. Conclusion A RYGB with SDD can be considered feasible using remote monitoring for a selected group of patients. Graphical abstract

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Secondary Study Parametersmentioning

confidence: 99%

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Feasibility of Same-Day Discharge After Laparoscopic Roux-en-Y Gastric Bypass Using Remote Monitoring

et al. 2021

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“…Parametric (mean ± SD) and non-parametric statistics (median and interquartile range) described variables. Despite the use of variables described by ordinal scales, we presented data with both parametric and non-parametric statistics to have comparable data with the literature [29,30]. The Spearman correlation coefficient (r) was used to explore the association between two quantitative variables.…”

Section: Discussionmentioning

confidence: 99%

“…Identifying the psychological factors affecting the postoperative perception of pain for this group of patients may lead to more efficient pain protocols, thus enhancing the implementation of fast-track bariatric protocols [27][28][29]. Therefore, the aim of the present study is to evaluate the early postoperative pain of patients undergoing bariatric surgery and investigate the relationship between pain and the preoperative feeling of anxiety and depression.…”

Section: Introductionmentioning

confidence: 99%

Anxiety and Depression Affect Early Postoperative Pain Dimensions after Bariatric Surgery

Gravani

Matiatou

Nikolaidis

et al. 2020

JCM

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Uncontrolled postoperative pain and prolonged immobilization after bariatric surgery have been associated with increased postoperative complications and prolonged hospitalization. The aim of our study was to evaluate the postoperative pain that follows bariatric surgery and identify any psychological factors that may affect the early postoperative perception of pain. The study included 100 patients with obesity (women, n = 61; age 37.4 ± 9.9 years, mean ± standard deviation; Body Mass Index (BMI) 47.6 ± 6.5 kg/m2) who underwent bariatric surgery. Preoperative anxiety and depression were evaluated by the Hospital Anxiety and Depression Scale (HADS), and the quantitative and qualitative dimension of early postoperative pain were evaluated by the McGill Pain Questionnaire Short Form (MPQ-SF). Furthermore, the postoperative analgesia protocol was recorded for each patient. Pain declined gradually during the first 24 h postoperative. Although preoperative anxiety had no correlation with the overall pain of postoperative Day 0, patients with a higher level of preoperative anxiety had significantly more intense and more unpleasant pain at 1 h post operation. In addition, depression influences both the intensity and unpleasantness of pain at different time points (1 h, 4 h and 24 h postoperative). Preoperative pain correlated with educational level, but not with age, BMI, gender, marital status, smoking and surgery type. In conclusion, preoperative anxiety and depression influence the early postoperative pain after bariatric surgery, and their preoperative identification is of major importance to enhance the implementation of fast-track postoperative protocols to prevent complications and prolonged hospitalization.

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Selection of Robotic Bariatric Surgery Candidates: a Nationwide Analysis

Al-Mazrou

Dhar

Dakin

et al. 2023

Journal of Gastrointestinal Surgery

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Risk Factors Associated with Prolonged Hospital Stay and Readmission in Patients After Primary Bariatric Surgery

Cited by 15 publications

References 40 publications

Feasibility of Same-Day Discharge After Laparoscopic Roux-en-Y Gastric Bypass Using Remote Monitoring

Feasibility of Same-Day Discharge After Laparoscopic Roux-en-Y Gastric Bypass Using Remote Monitoring

Anxiety and Depression Affect Early Postoperative Pain Dimensions after Bariatric Surgery

Selection of Robotic Bariatric Surgery Candidates: a Nationwide Analysis

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