Evidence map›Paper›PMID 29352753›Full record

ArticleObesity surgery2018

Factors Predicting Length of Stay Following Bariatric Surgery: Retrospective Review of a Single UK Tertiary Centre Experience.

Fahad Mahmood, Alistair J Sharples, Adriana Rotundo, Nagammapudur Balaji, Vittal S R Rao

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Article in Obesity surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Fahad MahmoodNorth Midlands Institute of Metabolic & Bariatric Surgery, Royal Stoke University Hospital, Stoke-on-Trent, UK.ORCID http://orcid.org/0000-0003-1776-8828
Alistair J SharplesNorth Midlands Institute of Metabolic & Bariatric Surgery, Royal Stoke University Hospital, Stoke-on-Trent, UK.
Adriana RotundoNorth Midlands Institute of Metabolic & Bariatric Surgery, Royal Stoke University Hospital, Stoke-on-Trent, UK.
Nagammapudur BalajiNorth Midlands Institute of Metabolic & Bariatric Surgery, Royal Stoke University Hospital, Stoke-on-Trent, UK.
Vittal S R RaoNorth Midlands Institute of Metabolic & Bariatric Surgery, Royal Stoke University Hospital, Stoke-on-Trent, UK. vittal.rao@uhnm.nhs.uk.
Royal Stoke University Hospital · GBUniversity Hospitals of North Midlands NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic Roux Y gastric bypass (RYGB) and laparoscopic sleeve gastrectomy (LSG) are the most commonly performed bariatric procedures. Improvement in techniques and perioperative management of patients have resulted in shorter hospital stay and reduced overall costs. Many post-operative protocols aspire to post-operative day 1 discharge with studies showing reduction in length of stay without increasing complications. In this study, we investigate the factors predictive of early discharge at our high-volume bariatric centre.

methodsA retrospective review of all patients who underwent bariatric surgery (RYGB or SG) at a single centre between January 2013 and December 2014 was undertaken. Routine preoperative investigations were performed and patient discussed at bariatric MDT. Post-operative management was as per standard protocols. Demographic data, type of surgery and post-operative data (length of stay, complications, readmission, reoperations) were analysed. Statistical analysis was performed using SPSS.

resultsFive hundred six patients underwent RYGB (407 (80.4%)) or SG (99 (19.6%)). The mean preoperative BMI was 45.9 (range 33.3-80.6). The median length of stay was 1 day (range 1-214 days; interquartile range 1-2 days) for RYGB and 2 days (range 1-8 days; interquartile range 1-3 days) for SG. Two hundred sixty-eight (52.9%) patients were discharged on post-operative day 1. The type of surgery and preoperative BMI were the only significant factors predicative of day 1 discharge after surgery. Patients undergoing SG were 3.3 times more likely to stay longer than 1 day after surgery (p < 0.001). BMI < 50 is associated with day 1 discharge (p = 0.030).

conclusionEarly discharge, on post-operative day 1 appears to be safe and is not associated with a greater risk of readmission. Sleeve gastrectomy and a BMI > 50 are associated with an increased risk of failure to achieve day 1 discharge.

Indexed as

Bariatric SurgeryAdultAgedFemaleHumansLaparoscopyLength of StayMaleMiddle AgedObesity, MorbidPatient DischargePostoperative ComplicationsPrognosisReoperationRetrospective StudiesRisk FactorsBariatric surgeryEarly dischargeLaparoscopicLength of stayLRYGBLSG

Identifiers

PMID29352753
OpenAlexW2785414457

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.