Risk Factors Associated with Prolonged Hospital Stay and Readmission in Patients After Primary Bariatric Surgery
- PDF / 268,043 Bytes
- 8 Pages / 595.276 x 790.866 pts Page_size
- 100 Downloads / 200 Views
ORIGINAL CONTRIBUTIONS
Risk Factors Associated with Prolonged Hospital Stay and Readmission in Patients After Primary Bariatric Surgery L.M.G. Nijland 1
&
S.M.M. de Castro 1 & R.N. van Veen 1
# Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Introduction The introduction of enhanced recovery after surgery (ERAS) has resulted in a decrease in length of hospital stay of patients after bariatric surgery. The general length of hospital stay is 1 day. Some bariatric patients stay longer after an uncomplicated procedure or are readmitted for varying reasons. Objectives The aim of the present study is to identify risk factors associated with prolonged hospital stay and readmissions. Methods A retrospective study of all patients who underwent a primary procedure (i.e. Roux-en-Y gastric bypass or sleeve gastrectomy) between January 2016 and January 2019 was performed. Results A total of 1669 patients who underwent primary laparoscopic Roux-en-Y gastric bypass (70.7%) or sleeve gastrectomy (29.3%) were included. The median length of stay was 1 day (range 1–69 days). In 138 patients (8.3%), a postoperative complication was diagnosed and 89 patients were readmitted (5.3%) within 30 days after discharge. Overall, 348 patients (20.9%) stayed longer than 1 day. Univariable analysis showed that depression, ASA III, sleeve gastrectomy and a perioperative and/or postoperative complication were significantly (p value < 0.05) associated with a prolonged stay. In the multivariable model depression, sleeve gastrectomy and postoperative complication were independent risk factors for prolonged stay. Univariable analysis of risk factors associated with readmission identified depression and perioperative and postoperative complications. Multivariable analysis for readmission demonstrated only presence of a postoperative complication was an independent risk factor. Conclusion Depression, sleeve gastrectomy and postoperative complications were independent risk factors for prolonged stay. Postoperative complication was an independent risk factor for readmission. Keywords Bariatric surgery . Length of stay . Patient readmission . Risk factor . Enhanced recovery after surgery . Postoperative complications
Introduction Bariatric surgery is the most effective treatment for patients with morbid obesity [1–3]. In the last two decades, bariatric surgery has gained popularity after the introduction of laparoscopic surgery. The low complication rate and favourable long-term outcome along with the introduction of laparoscopic surgery has contributed to the growth of bariatric surgery [4–6]. In the Netherlands, over 12,000 bariatric procedures are performed annually [7].
* L.M.G. Nijland [email protected] 1
Department of Surgery, OLVG, Location west, Jan Tooropstraat 164, 1061 AE Amsterdam, The Netherlands
The introduction of enhanced recovery after surgery (ERAS) has resulted in a decrease of length of hospital stay for bariatric patients [8–10]. Following the ERAS implementation, standard hospital stay in most c
Data Loading...
