Analysis of Emergency Department Visits and Unplanned Readmission After Bariatric Surgery: An Experience From a Tertiary Referral Center
| Autor: | Marwan Rasheed, Hayder Makki, Omar Abdulateef, Sameh Hany Emile, Amr Madyan, Yaser Asaad, Tarek Mahdy, Heba Nofal |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Abdominal pain business.industry Gastric Bypass Bariatric Surgery Retrospective cohort study General Medicine Emergency department Patient Readmission Obesity Morbid Surgery Tertiary Care Centers Postoperative Complications Cohort medicine Unplanned readmission Humans Referral center medicine.symptom Emergency Service Hospital Adverse effect business Body mass index Retrospective Studies |
| Zdroj: | Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. 32:107-113 |
| ISSN: | 1534-4908 |
| DOI: | 10.1097/sle.0000000000001011 |
| Popis: | Background Bariatric surgery is the most effective treatment of morbid obesity. As the number of bariatric procedures performed has increased, visits to the emergency department (ED) and readmissions have subsequently increased. The present study aimed to assess the rates and indications for of ED visits and readmission after bariatric surgery and to identify the predictors of hospital readmission. Patients and methods This was a retrospective cohort study on patients who underwent bariatric surgery from January 2018 to April 2020. The percentage of ED visits and unplanned readmission was estimated and the indications and management of each were analyzed. The association of age, sex, body mass index, and type of procedure with readmission was assessed. Results Of 582 patients who underwent bariatric surgery in the study period, 204 (35%) required ED visits, and 42 (7.2%) required readmission. The mean age of patients was 33 years, and the mean body mass index was 43 kg/m2. The most common indication for ED visits was abdominal pain (41.2%). In all, 64.8% of ED visits and 43% of readmissions were unrelated to bariatric surgery complications. A total of 94.1% of patients who required ED visits and 71.4% of readmitted patients were managed conservatively. The most common procedure followed by readmission was laparoscopic sleeve gastrectomy (50%) then one-anastomosis gastric bypass (21.4%). Age, sex, body mass index, and procedure type were not significantly associated with higher readmission. Conclusions The rates of ED visits and readmission in our cohort were 35% and 7.2%, respectively. Most cases of ED visits were not related to adverse effects of bariatric surgery and the majority of which were managed conservatively. |
| Databáze: | OpenAIRE |
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