Type 2 Diabetes and HbA1c Predict All‐Cause Post‐Metabolic and Bariatric Surgery Hospital Readmission
| Autor: | Elisa Morales-Marroquin, Nestor de la Cruz-Muñoz, Benjamin Schneider, Sarah E. Messiah, Sunil M. Mathew, Luyu Xie, Luigi F. Meneghini, Jaime P. Almandoz |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty animal structures Endocrinology Diabetes and Metabolism Bariatric Surgery Medicine (miscellaneous) 030209 endocrinology & metabolism Glycemic Control Type 2 diabetes Patient Readmission Article Prediabetic State 03 medical and health sciences 0302 clinical medicine Endocrinology Weight loss Diabetes mellitus Weight Loss medicine Humans 030212 general & internal medicine Prediabetes Retrospective Studies Glycemic Glycated Hemoglobin Hospital readmission Nutrition and Dietetics business.industry Middle Aged medicine.disease Obesity Morbid Surgery Diabetes Mellitus Type 2 Cohort Female medicine.symptom business All cause mortality |
| Zdroj: | Obesity (Silver Spring) |
| ISSN: | 1930-739X 1930-7381 |
| Popis: | Objective The main goal of this analysis was to determine whether type 2 diabetes and hemoglobin A1c (HbA1c) predict all-cause 30-day hospital readmission after metabolic and bariatric surgery (MBS). It was hypothesized that a diagnosis of type 2 diabetes or high HbA1c values would predict all-cause hospital readmission rates post MBS. Methods A retrospective analysis from the 2015-2018 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) cohort was completed (N = 744,776); 30,972 participants were readmitted during the 30 days post MBS. Results Mean age of the MBSAQIP sample was 45.1 (11.5) years, and the majority were female (80.7%) and non-Hispanic White (59.4%). The all-cause hospital readmission rate was 4.2% and increased by 10% in those with uncontrolled type 2 diabetes (HbA1c > 7.5% [> 58 mmol/mol]); after adjustment, diabetes was not associated with increased readmission. Uncontrolled type 2 diabetes, type 2 diabetes, and prediabetes resulted in less weight loss 30 days post MBS. Conclusions These results based on a national MBS cohort showed that uncontrolled type 2 diabetes is associated with a greater likelihood of all-cause hospital readmission and reduced weight loss 30 days post MBS. Both type 2 diabetes and prediabetes were also associated with decreased weight loss 30 days post MBS. These findings highlight the need to classify and optimize glycemic control prior to MBS. |
| Databáze: | OpenAIRE |
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