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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
PubMed

Insights

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.
Abstract

Keywords:
Bariatric surgeryEarly dischargeEnhanced recovery after surgery (ERAS)Gastric bypassShort stay surgerySleeve gastrectomy

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