The relationship between duration of stay and readmissions in patients undergoing bariatric surgery. Surgery 2015 Aug;158(2):501-7
Date
06/03/2015Pubmed ID
26032831Pubmed Central ID
PMC4624415DOI
10.1016/j.surg.2015.03.051Scopus ID
2-s2.0-84937517815 (requires institutional sign-in at Scopus site) 38 CitationsAbstract
BACKGROUND: Hospital readmissions are a quality indicator in bariatric surgery. In recent years, duration of stay after bariatric surgery has trended down greatly. We hypothesized that a shorter postoperative hospitalization does not increase the likelihood of readmission.
METHODS: The University HealthSystem Consortium (UHC) is an alliance of academic medical centers and affiliated hospitals. The UHC's clinical database contains information on inpatient stay and returns (readmissions) up to 30 days after discharge. A multicenter analysis of outcomes was performed by the use of data from the January 2009 to December 2013 for patients 18 years and older. Patients were identified by bariatric procedure International Classification of Diseases, Ninth Revision, codes and restricted by diagnosis codes for morbid obesity.
RESULTS: A total of 95,294 patients met inclusion criteria. The mean patient age was 45.4 (±0.11) years, and 73,941 (77.6%) subjects were female. There were 5,423 (5.7%) readmissions within the study period. Patients with hospitalizations of 3 days and more than 3 days were twice and four times as likely to be readmitted than those with hospitalizations of one day, respectively (P < .001).
CONCLUSION: Patients with longer postoperative hospitalizations were more likely to be readmitted after bariatric surgery. Early discharge does not appear to be associated with increased readmission rates.
Author List
Lois AW, Frelich MJ, Sahr NA, Hohmann SF, Wang T, Gould JCAuthor
Jon Gould MD Chief, Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Aged
Aged, 80 and over
Bariatric Surgery
Databases, Factual
Female
Humans
Length of Stay
Logistic Models
Male
Middle Aged
Obesity, Morbid
Patient Discharge
Patient Readmission
United States
Young Adult
