Evidence map›Paper›PMID 29455407›Full record

ArticleObesity surgery2018

A Single-center Experience Examining the Length of Stay and Safety of Early Discharge After Laparoscopic Roux-en-Y Gastric Bypass Surgery.

Melanie H Howell, Aaron Praiss, Dina Podolsky, Natan Zundel, Erin Moran-Atkin, Jenny J Choi, Diego R Camacho

Abstract read
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In one paragraph

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 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

7 authors.

Melanie H HowellDepartment of Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, 182 East 210th Street, Lower Level, Bronx, NY, 10467, USA. mehowell@montefiore.org.
Aaron PraissThe Albert Einstein College of Medicine, Bronx, NY, USA.
Dina PodolskyDepartment of Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, 182 East 210th Street, Lower Level, Bronx, NY, 10467, USA.
Natan ZundelDepartment of Surgery, Florida International University, Miami, FL, USA.
Erin Moran-AtkinDepartment of Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, 182 East 210th Street, Lower Level, Bronx, NY, 10467, USA.
Jenny J ChoiDepartment of Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, 182 East 210th Street, Lower Level, Bronx, NY, 10467, USA.
Diego R CamachoDepartment of Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, 182 East 210th Street, Lower Level, Bronx, NY, 10467, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study's objective was to describe our experience and evaluate the safety of early discharge (ED) following laparoscopic Roux-en-Y gastric bypass (LRYGB) in a specific patient population. MATERIALS AND

methodsPatients undergoing LRYGB at Montefiore Medical Center were retrospectively reviewed. Patients readmitted in the first 30 days following surgery were compared to those patients who were not readmitted. Data analysis was used to compare groups and to determine factors associated with readmission. In addition to patient demographics, length of stay (LOS) was analyzed as an independent risk factor for readmission.

resultsA total of 630 LRYGB were performed during this period. There were 5.1% (n = 32) of patients that required readmission within 30 days of discharge. Readmitted patients had a higher BMI (50.0 vs. 45.8; p = 0.006) and there was a trend for them to be younger (38.4 years vs. 42.0; p = 0.07). There was an increased rate of ED in 2015 (36.7%, n = 121) compared to 2014 (29.9%, n = 90). The readmission rate for ED for the study period was 4.7% (n = 10). There were no observed mortalities in our early discharge group of patients.

conclusionsDischarge on post-operative day 1 following a LRYGB is safe and is not associated with an increased likelihood of being readmitted within 30 days of discharge. Our single-center experience helps to better characterize current patient profiles and length of stay trends within the field and can be used to establish a randomized controlled trial for discharging patients early after LRYGB.

Indexed as

Gastric BypassAdultHumansLaparoscopyLength of StayPatient DischargePatient ReadmissionRetrospective StudiesRisk FactorsEarly dischargeGastric bypassUnderserved populationWeight loss surgery

Identifiers

PMID29455407

What OpenQuestion holds

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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.