Evidence map›Paper›PMID 30109668›Full record

ArticleObesity surgery2018

Postoperative Care Fragmentation Is Associated with Increased 30-Day Mortality after Bariatric Surgery.

Yen-Yi Juo, Usah Khrucharoen, Yas Sanaiha, Yijun Chen, Erik Dutson

Open access · bronzeAbstract read
PubMed Publisher
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 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Association Among Fragmented Trauma Care, Mortality, and Major Complications: Optimizing Care for the Injured Beyond the Initial Hospitalization.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025
    Article
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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 1 institution in 1 country.

Yen-Yi JuoCenter for Advanced Surgical and Interventional Technology (CASIT), University of California Los Angeles, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0003-4195-2481
Usah KhrucharoenCenter for Advanced Surgical and Interventional Technology (CASIT), University of California Los Angeles, Los Angeles, CA, USA.
Yas SanaihaCenter for Advanced Surgical and Interventional Technology (CASIT), University of California Los Angeles, Los Angeles, CA, USA.
Yijun ChenCenter for Advanced Surgical and Interventional Technology (CASIT), University of California Los Angeles, Los Angeles, CA, USA.
Erik DutsonCenter for Advanced Surgical and Interventional Technology (CASIT), University of California Los Angeles, Los Angeles, CA, USA. edutson@mednet.ucla.edu.
University of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCompromised access following bariatric centers-or-excellence designations may have led to increased incidence of non-index readmissions and worsened care fragmentation. We seek to evaluate risk factors and impact of non-index readmissions on short-term mortality during readmission using a national bariatric registry data from 2015.

methodsA retrospective cohort study was performed using a national clinical database. Multivariate logistic regression models were developed to quantify association between non-index readmissions and 30-day mortality among bariatric patients with 30-day readmissions.

resultsA total of 4704 patients were identified as undergoing bariatric surgery and readmitted within 30 days. Of these, 325 (6.9%) patients were readmitted to a non-index facility while the rest were hospitalized at the original hospital. Patient characteristics were largely similar between the two comparison groups, although patients with in-hospital complications and non-home disposition during the initial stay were more likely to experience non-index readmissions. Multivariate regression demonstrated that non-index readmission was associated with an adjusted odds ratio of 4.4 for 30-day mortality (95% confidence interval 2.6-9.2, p < 0.01). The most common reason for mortality for both index and non-index readmissions was pulmonary embolism.

conclusionsCare fragmentation may lead to increased 30-day mortality during readmissions following bariatric surgery. Heightened vigilance and longitudinal follow-up planning is recommended for patients with elevated risk for venous thromboembolism.

Indexed as

Bariatric SurgeryObesity, MorbidPostoperative CareHumansPatient ReadmissionPostoperative ComplicationsRetrospective StudiesRisk FactorsAccess disparityBariatric surgeryCare fragmentationPulmonary embolism

Identifiers

PMID30109668
OpenAlexW2887421317

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.