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Examining emergency department utilization following bariatric surgery
Cullen Roe1, Mark Mahan2, Jason Stanton2
1Geisinger Medical Center, 100 North Academy Avenue, Danville, PA, 17821, USA. ecroe@geisinger.edu.
Surgical Endoscopy
|April 1, 2024
Summary
Nearly 20% of patients utilized the emergency department (ED) within 90 days of bariatric surgery, highlighting a need for improved post-discharge education and communication to reduce unnecessary visits.
Area of Science:
- Bariatric Surgery Outcomes
- Healthcare Utilization Research
- Surgical Patient Management
Background:
- Emergency department (ED) visits post-surgery are poorly understood, contributing to significant healthcare costs.
- Quantifying ED utilization after bariatric procedures is crucial for identifying areas of improvement.
Purpose of the Study:
- To analyze the frequency and reasons for emergency department (ED) visits within 90 days following metabolic bariatric surgery (MBS).
- To identify opportunities for enhancing patient care and reducing healthcare system burden.
Main Methods:
- Retrospective review of a prospectively maintained database of 4703 patients undergoing metabolic bariatric surgery (MBS) between 2006 and 2019.
- Analysis of ED visits within 30 and 90 days post-discharge, focusing on relation to surgery and preventability.
Main Results:
- 19.3% of patients (907/4703) visited the ED within 90 days post-MBS; 7.4% required readmission.
- Roux-en-Y Gastric Bypass (RYGB) was the most common procedure.
- The median time to ED visit was 19 days, with over half of patients not calling prior to presentation.
Conclusions:
- Postoperative ED utilization following bariatric intervention is significant and warrants further investigation.
- Improving discharge education and early post-discharge communication can potentially reduce ED visits and healthcare strain.
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