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Early discharge in the bariatric population does not increase post-discharge resource utilization
Joshua Rickey1, Keith Gersin1, Wayne Yang1
1Division of Bariatric and Metabolic Surgery, Carolinas HealthCare System, 2608 East 7th Street, Charlotte, NC, 28204, USA.
Surgical Endoscopy
|June 25, 2016
Summary
Short-stay bariatric surgery, reducing length of stay (LOS) to one day, is feasible and safe. This approach did not significantly increase complications or post-discharge resource use compared to a two-day stay.
Area of Science:
- Bariatric Surgery
- Surgical Outcomes
- Healthcare Management
Background:
- There is a growing trend towards shorter hospital stays in bariatric surgery.
- Reducing length of stay (LOS) may potentially increase complications and post-discharge resource utilization.
Purpose of the Study:
- To compare the outcomes of bariatric surgery before and after the implementation of a short-stay protocol.
- To evaluate the feasibility and safety of reducing LOS to one day post-operation.
Main Methods:
- Retrospective chart review of laparoscopic sleeve gastrectomy (LSG) and laparoscopic gastric bypass (LRYGB) patients.
- Comparison of two cohorts: 'target discharge POD 1' (short-stay) and 'target discharge POD 2' (standard-stay).
- Analysis of on-time discharges, complications, and post-discharge resource utilization.
Main Results:
- The short-stay group (POD 1) had a higher percentage of patients meeting their target LOS.
- The short-stay group showed a significantly higher rate of hospital readmissions, but no differences in mortality, leaks, or reoperations.
- No significant differences were observed in ED visits or patient calls between the groups.
Conclusions:
- Short-stay bariatric surgery is feasible and safe.
- Reducing LOS from two to one day did not significantly increase adverse outcomes.
- Further research is warranted to explore outpatient bariatric procedures.
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