Evidence map›Paper›PMID 34668048›Full record

Trial reportWorld journal of surgery2022

Utility of a Novel Scale to Assess Readiness for Discharge After Bariatric Surgery.

Richard L Seip, Samantha Lee, Tara McLaughlin, Ilene Staff, Aloys Nsereko, Stephen Thompson, Connie Santana, Darren S Tishler, Pavlos Papasavas

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in World journal of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

9 authors.

Richard L SeipHartford Hospital Surgical Weight Loss Program, Hartford Hospital, Hartford, CT, 06102, US.
Samantha LeeHartford Hospital Surgical Weight Loss Program, Hartford Hospital, Hartford, CT, 06102, US.
Tara McLaughlinHartford Hospital Department of Surgery, Hartford Hospital, Hartford, CT, 06102, US.
Ilene StaffHartford Hospital Research Program, Hartford Hospital, 80 Seymour Street, Hartford, CT, 06106, US.
Aloys NserekoHartford Hospital Surgical Weight Loss Program, Hartford Hospital, Hartford, CT, 06102, US.
Stephen ThompsonHartford Hospital Research Program, Hartford Hospital, 80 Seymour Street, Hartford, CT, 06106, US.
Connie SantanaHartford Hospital Surgical Weight Loss Program, Hartford Hospital, Hartford, CT, 06102, US.
Darren S TishlerHartford Hospital Surgical Weight Loss Program, Hartford Hospital, Hartford, CT, 06102, US.
Pavlos PapasavasHartford Hospital Surgical Weight Loss Program, Hartford Hospital, Hartford, CT, 06102, US. Pavlos.Papasavas@hhchealth.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe safe release of a patient from hospital care after bariatric surgery depends upon the achievement of satisfactory health status. Here, we describe a new objective scale (the Readiness for Discharge, RFD Scale) to measure the patient's suitability for hospital discharge after bariatric surgery.

methodsWe conducted a retrospective, observational analysis of data collected in a randomized clinical trial of an enhanced recovery after surgery protocol for laparoscopic sleeve gastrectomy from 3/15/2018 to 1/12/2019. Nursing staff assessed 122 patients every 4-8 h after surgery using a checklist to document 5 components: ambulation, vital signs, pain, nausea, and oral intake of clear fluid. Satisfaction of each component was scored as "1" (satisfactory) or "0" (not satisfactory). Scores were summed and analyzed for patterns. RFD = 5 marked the patient as ready for discharge.

resultsSufficient intake of clear liquid was the last RFD component satisfied in 87% of patients. Two overall response patterns emerged: "Steady Progressors" (n = 51) whose RFD score rose steadily from 0 to 5 without reversion to a lower score; and "Oscillators" (n = 71) who had at least one temporary decrease in RFD score on the way to attaining 5, or showed a simultaneous oscillation of components without change in RFD.

conclusionsThe RFD checklist allows objective scoring of medical readiness for discharge after LSG and has the potential to improve clinical communication.

Indexed as

Bariatric SurgeryLaparoscopyObesity, MorbidGastrectomyHumansPatient DischargeRetrospective Studies

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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.