Feasibility of Same-Day Discharge After Laparoscopic Roux-en-Y Gastric Bypass Using Remote Monitoring
| Autor: | Marlou Vogel, Leontien M. G. Nijland, Steve M. M. de Castro, Pim W. J. van Rutte, Jan-Willem F Coumou, Ruben N. van Veen |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Roux-en-Y gastric bypass Endocrinology Diabetes and Metabolism Original Contributions Video consultation Gastric bypass Vital signs Gastric Bypass 030209 endocrinology & metabolism 03 medical and health sciences 0302 clinical medicine Patient satisfaction Postoperative Complications Ambulatory medicine Humans Prospective Studies Same day discharge Retrospective Studies Live video Nutrition and Dietetics business.industry nutritional and metabolic diseases Same-day discharge Roux-en-Y anastomosis Patient Discharge Surgery Obesity Morbid Remote monitoring Treatment Outcome Feasibility Studies 030211 gastroenterology & hepatology Laparoscopy Complication business |
| Zdroj: | Obesity Surgery |
| ISSN: | 1708-0428 0960-8923 |
| Popis: | 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 ( |
| Databáze: | OpenAIRE |
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