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National prevalence, causes, and risk factors for bariatric surgery readmissions

Abstract Background Readmissions are often used as a quality metric particularly in bariatric surgery. Methods Laparoscopic Roux en Y gastric bypass, laparoscopic adjustable gastric banding, and laparoscopic sleeve gastrectomy were identified using Current Procedure Terminology codes in the 2012 Nat... Full description

Journal Title: The American journal of surgery 2016, Vol.212 (1), p.76-80
Main Author: Garg, Trit, B.A
Other Authors: Rosas, Ulysses, B.A , Rivas, Homero, M.D., M.B.A , Azagury, Dan, M.D , Morton, John M., M.D., M.P.H
Format: Electronic Article Electronic Article
Language: English
Subjects:
Age
Quelle: Alma/SFX Local Collection
Publisher: United States: Elsevier Inc
ID: ISSN: 0002-9610
Link: https://www.ncbi.nlm.nih.gov/pubmed/27133197
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title: National prevalence, causes, and risk factors for bariatric surgery readmissions
format: Article
creator:
  • Garg, Trit, B.A
  • Rosas, Ulysses, B.A
  • Rivas, Homero, M.D., M.B.A
  • Azagury, Dan, M.D
  • Morton, John M., M.D., M.P.H
subjects:
  • Abridged Index Medicus
  • Accreditation
  • Adult
  • Age
  • Age Distribution
  • Bariatric surgery
  • Bariatric Surgery - adverse effects
  • Bariatric Surgery - methods
  • Body Mass Index
  • Chronic obstructive pulmonary disease
  • Confidence intervals
  • Databases, Factual
  • Diabetes
  • Female
  • Gastrectomy - adverse effects
  • Gastrectomy - methods
  • Gastric Bypass - adverse effects
  • Gastric Bypass - methods
  • Gastrointestinal surgery
  • Gastroplasty - adverse effects
  • Gastroplasty - methods
  • Heart attacks
  • Hospitals
  • Humans
  • Hypertension
  • Infections
  • Laparoscopy
  • Laparoscopy - adverse effects
  • Laparoscopy - methods
  • Life expectancy
  • Logistic Models
  • Male
  • Middle Aged
  • Mortality
  • Multivariate Analysis
  • Obesity
  • Obesity, Morbid - diagnosis
  • Obesity, Morbid - surgery
  • Outcome Assessment (Health Care)
  • Patient Readmission - statistics & numerical data
  • Pneumonia
  • Postoperative Complications - physiopathology
  • Postoperative Complications - surgery
  • Prevalence
  • Prognosis
  • Readmissions
  • Retrospective Studies
  • Risk Factors
  • Sex Distribution
  • Software
  • Surgery
  • Surgical outcomes
  • Thromboembolism
  • Thrombosis
  • United States
  • Urinary tract diseases
  • Urogenital system
  • Variables
  • Weight control
ispartof: The American journal of surgery, 2016, Vol.212 (1), p.76-80
description: Abstract Background Readmissions are often used as a quality metric particularly in bariatric surgery. Methods Laparoscopic Roux en Y gastric bypass, laparoscopic adjustable gastric banding, and laparoscopic sleeve gastrectomy were identified using Current Procedure Terminology codes in the 2012 National Surgical Quality Improvement Program public use file. Results A total of 18,296 patients were included, 10,080 (55.1%) were laparoscopic Roux en Y gastric bypass, 1,829 (10.0%) were laparoscopic adjustable gastric banding, and 6,387 (34.9%) were laparoscopic sleeve gastrectomy. Among all patients, 955 (5.22%) were readmitted. Patients with readmissions had a higher proportion of body mass index greater than 50 (30.2% vs 24.6%, P < .001), higher index operative time (132 minutes vs 115, P < .001) and greater proportion with length of stay greater than 4 days (9.57% vs 3.36%, P < .001). Readmitted patients were more likely to have diabetes (31.1% vs 27.7%, P = .02), chronic obstructive pulmonary disease (2.63% vs 1.72%, P = .04), and hypertension (54.5% vs 50.8%, P = .03). Overall, 40.6% of readmitted patients had a complication. Common readmissions were gastrointestinal-related (45.0%), dietary (33.5%), and bleeding (6.57%). Readmission was independently associated with African-American race (odds ratio [OR] = 1.53, P  = .02), complication (OR = 11.3, 95%, P < .001), and resident involvement (OR = .53, P = .04). Conclusions A 30-day readmission after bariatric surgery is prevalent and closely associated with complications.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0002-9610
fulltext: fulltext
issn:
  • 0002-9610
  • 1879-1883
url: Link


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titleNational prevalence, causes, and risk factors for bariatric surgery readmissions
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creatorGarg, Trit, B.A ; Rosas, Ulysses, B.A ; Rivas, Homero, M.D., M.B.A ; Azagury, Dan, M.D ; Morton, John M., M.D., M.P.H
creatorcontribGarg, Trit, B.A ; Rosas, Ulysses, B.A ; Rivas, Homero, M.D., M.B.A ; Azagury, Dan, M.D ; Morton, John M., M.D., M.P.H
descriptionAbstract Background Readmissions are often used as a quality metric particularly in bariatric surgery. Methods Laparoscopic Roux en Y gastric bypass, laparoscopic adjustable gastric banding, and laparoscopic sleeve gastrectomy were identified using Current Procedure Terminology codes in the 2012 National Surgical Quality Improvement Program public use file. Results A total of 18,296 patients were included, 10,080 (55.1%) were laparoscopic Roux en Y gastric bypass, 1,829 (10.0%) were laparoscopic adjustable gastric banding, and 6,387 (34.9%) were laparoscopic sleeve gastrectomy. Among all patients, 955 (5.22%) were readmitted. Patients with readmissions had a higher proportion of body mass index greater than 50 (30.2% vs 24.6%, P < .001), higher index operative time (132 minutes vs 115, P < .001) and greater proportion with length of stay greater than 4 days (9.57% vs 3.36%, P < .001). Readmitted patients were more likely to have diabetes (31.1% vs 27.7%, P = .02), chronic obstructive pulmonary disease (2.63% vs 1.72%, P = .04), and hypertension (54.5% vs 50.8%, P = .03). Overall, 40.6% of readmitted patients had a complication. Common readmissions were gastrointestinal-related (45.0%), dietary (33.5%), and bleeding (6.57%). Readmission was independently associated with African-American race (odds ratio [OR] = 1.53, P  = .02), complication (OR = 11.3, 95%, P < .001), and resident involvement (OR = .53, P = .04). Conclusions A 30-day readmission after bariatric surgery is prevalent and closely associated with complications.
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languageeng
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subjectAbridged Index Medicus ; Accreditation ; Adult ; Age ; Age Distribution ; Bariatric surgery ; Bariatric Surgery - adverse effects ; Bariatric Surgery - methods ; Body Mass Index ; Chronic obstructive pulmonary disease ; Confidence intervals ; Databases, Factual ; Diabetes ; Female ; Gastrectomy - adverse effects ; Gastrectomy - methods ; Gastric Bypass - adverse effects ; Gastric Bypass - methods ; Gastrointestinal surgery ; Gastroplasty - adverse effects ; Gastroplasty - methods ; Heart attacks ; Hospitals ; Humans ; Hypertension ; Infections ; Laparoscopy ; Laparoscopy - adverse effects ; Laparoscopy - methods ; Life expectancy ; Logistic Models ; Male ; Middle Aged ; Mortality ; Multivariate Analysis ; Obesity ; Obesity, Morbid - diagnosis ; Obesity, Morbid - surgery ; Outcome Assessment (Health Care) ; Patient Readmission - statistics & numerical data ; Pneumonia ; Postoperative Complications - physiopathology ; Postoperative Complications - surgery ; Prevalence ; Prognosis ; Readmissions ; Retrospective Studies ; Risk Factors ; Sex Distribution ; Software ; Surgery ; Surgical outcomes ; Thromboembolism ; Thrombosis ; United States ; Urinary tract diseases ; Urogenital system ; Variables ; Weight control
ispartofThe American journal of surgery, 2016, Vol.212 (1), p.76-80
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descriptionAbstract Background Readmissions are often used as a quality metric particularly in bariatric surgery. Methods Laparoscopic Roux en Y gastric bypass, laparoscopic adjustable gastric banding, and laparoscopic sleeve gastrectomy were identified using Current Procedure Terminology codes in the 2012 National Surgical Quality Improvement Program public use file. Results A total of 18,296 patients were included, 10,080 (55.1%) were laparoscopic Roux en Y gastric bypass, 1,829 (10.0%) were laparoscopic adjustable gastric banding, and 6,387 (34.9%) were laparoscopic sleeve gastrectomy. Among all patients, 955 (5.22%) were readmitted. Patients with readmissions had a higher proportion of body mass index greater than 50 (30.2% vs 24.6%, P < .001), higher index operative time (132 minutes vs 115, P < .001) and greater proportion with length of stay greater than 4 days (9.57% vs 3.36%, P < .001). Readmitted patients were more likely to have diabetes (31.1% vs 27.7%, P = .02), chronic obstructive pulmonary disease (2.63% vs 1.72%, P = .04), and hypertension (54.5% vs 50.8%, P = .03). Overall, 40.6% of readmitted patients had a complication. Common readmissions were gastrointestinal-related (45.0%), dietary (33.5%), and bleeding (6.57%). Readmission was independently associated with African-American race (odds ratio [OR] = 1.53, P  = .02), complication (OR = 11.3, 95%, P < .001), and resident involvement (OR = .53, P = .04). Conclusions A 30-day readmission after bariatric surgery is prevalent and closely associated with complications.
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0Abridged Index Medicus
1Accreditation
2Adult
3Age
4Age Distribution
5Bariatric surgery
6Bariatric Surgery - adverse effects
7Bariatric Surgery - methods
8Body Mass Index
9Chronic obstructive pulmonary disease
10Confidence intervals
11Databases, Factual
12Diabetes
13Female
14Gastrectomy - adverse effects
15Gastrectomy - methods
16Gastric Bypass - adverse effects
17Gastric Bypass - methods
18Gastrointestinal surgery
19Gastroplasty - adverse effects
20Gastroplasty - methods
21Heart attacks
22Hospitals
23Humans
24Hypertension
25Infections
26Laparoscopy
27Laparoscopy - adverse effects
28Laparoscopy - methods
29Life expectancy
30Logistic Models
31Male
32Middle Aged
33Mortality
34Multivariate Analysis
35Obesity
36Obesity, Morbid - diagnosis
37Obesity, Morbid - surgery
38Outcome Assessment (Health Care)
39Patient Readmission - statistics & numerical data
40Pneumonia
41Postoperative Complications - physiopathology
42Postoperative Complications - surgery
43Prevalence
44Prognosis
45Readmissions
46Retrospective Studies
47Risk Factors
48Sex Distribution
49Software
50Surgery
51Surgical outcomes
52Thromboembolism
53Thrombosis
54United States
55Urinary tract diseases
56Urogenital system
57Variables
58Weight control
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0Abridged Index Medicus
1Accreditation
2Adult
3Age
4Age Distribution
5Bariatric surgery
6Bariatric Surgery - adverse effects
7Bariatric Surgery - methods
8Body Mass Index
9Chronic obstructive pulmonary disease
10Confidence intervals
11Databases, Factual
12Diabetes
13Female
14Gastrectomy - adverse effects
15Gastrectomy - methods
16Gastric Bypass - adverse effects
17Gastric Bypass - methods
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abstractAbstract Background Readmissions are often used as a quality metric particularly in bariatric surgery. Methods Laparoscopic Roux en Y gastric bypass, laparoscopic adjustable gastric banding, and laparoscopic sleeve gastrectomy were identified using Current Procedure Terminology codes in the 2012 National Surgical Quality Improvement Program public use file. Results A total of 18,296 patients were included, 10,080 (55.1%) were laparoscopic Roux en Y gastric bypass, 1,829 (10.0%) were laparoscopic adjustable gastric banding, and 6,387 (34.9%) were laparoscopic sleeve gastrectomy. Among all patients, 955 (5.22%) were readmitted. Patients with readmissions had a higher proportion of body mass index greater than 50 (30.2% vs 24.6%, P < .001), higher index operative time (132 minutes vs 115, P < .001) and greater proportion with length of stay greater than 4 days (9.57% vs 3.36%, P < .001). Readmitted patients were more likely to have diabetes (31.1% vs 27.7%, P = .02), chronic obstructive pulmonary disease (2.63% vs 1.72%, P = .04), and hypertension (54.5% vs 50.8%, P = .03). Overall, 40.6% of readmitted patients had a complication. Common readmissions were gastrointestinal-related (45.0%), dietary (33.5%), and bleeding (6.57%). Readmission was independently associated with African-American race (odds ratio [OR] = 1.53, P  = .02), complication (OR = 11.3, 95%, P < .001), and resident involvement (OR = .53, P = .04). Conclusions A 30-day readmission after bariatric surgery is prevalent and closely associated with complications.
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