Evidence map›Paper›PMID 32737691›Full record

ArticleObesity surgery2021

Rates and Predictors of 30-Day Readmissions in Patients Undergoing Bariatric Surgery in the US: a Nationwide Study.

Sachit Sharma, Muhammad Aziz, Ishaan Vohra, Faisal Kamal, Ashu Acharya, Zubair Khan, Simcha Weissman, Ali Nawras

Abstract read
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Article in Obesity surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

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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

8 authors at 5 institutions in 1 country.

Sachit SharmaDepartment of Medicine, University of Toledo Medical Center, Toledo, OH, USA. sachitsharma@outlook.com.ORCID http://orcid.org/0000-0003-4162-8622
Muhammad AzizDepartment of Medicine, University of Toledo Medical Center, Toledo, OH, USA.
Ishaan VohraDepartment of Medicine, John H. Stroger Jr, Hospital of Cook County, Chicago, IL, USA.
Faisal KamalDepartment of Gastroenterology, The University of Tennessee Health Science Center, Memphis, TN, USA.
Ashu AcharyaDepartment of Medicine, University of Toledo Medical Center, Toledo, OH, USA.
Zubair KhanDepartment of Gastroenterology, University of Texas Health Center at Houston, Houston, TX, USA.
Simcha WeissmanDepartment of Medicine, Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ, USA.
Ali NawrasDepartment of Gastroenterology, The University of Toledo Medical Center, Toledo, OH, USA.
University of Toledo Medical Center · USHackensack Meridian Health · USJohn H. Stroger, Jr. Hospital of Cook County · USThe University of Texas Health Science Center at Houston · USUniversity of Tennessee Health Science Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAmong various therapeutic options for morbid obesity, bariatric surgery (BS) is now considered one of the most effective methods of weight loss. We decided to perform an analysis to look at 30-day all-cause readmission and independent predictors of readmission in patients undergoing BS.

methodsWe queried the 2017 Nationwide Readmission Database (NRD) using ICD-10-CM diagnosis codes to identify all adult patients who underwent BS from January 1 to November 30, 2017. Outcomes assessed were 30-day readmission rates, mortality, length of stay (LOS) and hospitalization costs, and independent predictors of readmission.

resultsA total of 182,848 adult patients underwent BS during hospitalization in 2017, with in-hospital mortality rate of 0.52% (951). Of the patients discharged, 4.99% (9088) patients were readmitted within 30 days. The most common primary diagnosis at readmission was "Other complications of other bariatric surgery". When compared with index admission, readmitted patients had higher in-hospital mortality (0.52% vs 2.06%, p < 0.01), increased mean LOS (2.94 days vs 5.94 days, p < 0.01) but lower mean hospitalization charges ($67,763 vs $66,065, p < 0.01). Increasing age (HR 1.01, 95% CI: 1.006-1.014, p < 0.01), longer LOS (HR 1.01, 95% CI: 1.008-1.014, p < 0.01), higher comorbidity score (HR 1.15, 95% CI: 1.12-1.18, p < 0.01), CHF (HR 1.19, 95% CI: 1.01-1.42, p < 0.05), and AKI (HR 1.64, 95% CI: 1.34-2.02, p < 0.01) were independently associated with increased likelihood of 30-day readmission.

conclusionThis study shows that almost 5% patients undergoing bariatric surgery are readmitted within 30 days of discharge in the US. Further studies are needed to assess the high-risk populations to understand the reasons predisposing to early readmission.

Indexed as

Bariatric SurgeryObesity, MorbidAdultDatabases, FactualHumansLength of StayPatient ReadmissionPostoperative ComplicationsRetrospective StudiesRisk FactorsTime FactorsBariatric surgeryNationwide databaseObesityOutcomesReadmission

Identifiers

PMID32737691
OpenAlexW3046384855

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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.