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Remote Patient Monitoring Following Same-Day Discharge Bariatric Surgery: A Systematic Review and Meta-analysis.

Shiela Lee1, Jia Jye Lim2, Georgios Kourounis3

  • 1Sunderland Royal Hospital, Sunderland, UK. sleejyhuey@gmail.com.

Obesity Surgery
|February 25, 2025
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Remote monitoring (RM) in bariatric surgery same-day discharge (SDD) may increase readmissions slightly but offers a safety net. This systematic review found RM effective for monitoring patients after bariatric procedures.

Keywords:
BMSObesitySame-day discharge

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Area of Science:

  • Bariatric and Metabolic Surgery
  • Surgical Outcomes
  • Remote Patient Monitoring

Background:

  • Concerns about missing early complications hinder same-day discharge (SDD) in bariatric and metabolic surgery (BMS).
  • Remote monitoring (RM) is used in other surgeries, but its effectiveness in BMS is not well-established.
  • This systematic review evaluates RM's impact on postoperative outcomes for SDD in BMS.

Purpose of the Study:

  • To examine the impact of remote monitoring (RM) on postoperative readmissions and complications.
  • To assess the safety and effectiveness of RM for patients undergoing same-day discharge (SDD) after bariatric and metabolic surgery (BMS).

Main Methods:

  • Systematic literature search of Embase, Ovid MEDLINE, and Cochrane Central databases.
  • Inclusion of studies on RM for SDD in bariatric surgery.
  • Data collection on patient demographics and postoperative outcomes, including readmission and morbidity rates.

Main Results:

  • Analysis of 17 studies involving 20,380 patients.
  • Readmission rates were 6% with RM versus 2% without RM (p=0.01).
  • Overall complication rates were 7% with RM versus 3% without RM (p=0.08); no mortality was reported with RM.

Conclusions:

  • Same-day discharge (SDD) with remote monitoring (RM) allows shorter hospital stays and provides a safety net.
  • A marginally higher readmission rate is anticipated with early discharge.
  • Further research into the healthcare economics of RM in BMS is recommended.