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 (LRYGB), Laparoscopic Adjustable Gastric Banding (LAGB), and Laparoscopic Sleeve Gastrectomy (LSG) were identified using CPT codes in the 2012 NSQIP Pu...

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Veröffentlicht in:	The American journal of surgery 2016-07, Vol.212 (1), p.76-80
Hauptverfasser:	Garg, Trit, BA, Rosas, Ulysses, BA, Rivas, Homero, MD, MBA, Azagury, Dan, MD, Morton, John M., MD, MPH
Format:	Artikel
Sprache:	eng
Schlagworte:	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
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Zusammenfassung:	Abstract Background Readmissions are often used as a quality metric particularly in bariatric surgery. Methods Laparoscopic Roux en Y Gastric Bypass (LRYGB), Laparoscopic Adjustable Gastric Banding (LAGB), and Laparoscopic Sleeve Gastrectomy (LSG) were identified using CPT codes in the 2012 NSQIP Public Use File. Results A total of 18,296 patients were included, 10,080 (55.1%) were LRYGB, 1,829 (10.0%) were LAGB, and 6,387 (34.9%) were LSG. Among all patients, 955 (5.22%) were readmitted. Patients with readmissions had a higher proportion of BMI>50 (30.2% vs. 24.6%, p
ISSN:	0002-9610 1879-1883
DOI:	10.1016/j.amjsurg.2016.01.023