Evidence map›Paper›PMID 36598709›Full record

ArticleObesity surgery2023

Feasibility of Same-Day Discharge After Laparoscopic Roux-en-Y Gastric Bypass in Patients with Well-Regulated Obstructive Sleep Apnea.

Suzanne C Kleipool, Steve M M de Castro, Marlou Vogel, Herre J Reesink, Pim W J van Rutte, Ruben N van Veen

Open access · bronzeAbstract read
In one paragraph

Article in Obesity surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 pooled it
2.1field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 3 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. 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

6 authors at 1 institution in 1 country.

Suzanne C KleipoolDepartment of Surgery, OLVG Hospital, Amsterdam, Netherlands. s.c.kleipool@olvg.nl.ORCID 0000-0001-5630-4458
Steve M M de CastroDepartment of Surgery, OLVG Hospital, Amsterdam, Netherlands.
Marlou VogelDepartment of Anesthesiology, OLVG Hospital, Amsterdam, Netherlands.
Herre J ReesinkDepartment of Pulmonology, OLVG Hospital, Amsterdam, Netherlands.
Pim W J van RutteDepartment of Surgery, OLVG Hospital, Amsterdam, Netherlands.
Ruben N van VeenDepartment of Surgery, OLVG Hospital, Amsterdam, Netherlands.
OLVG · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSame-day discharge after bariatric surgery is increasingly being performed. In current practice, patients with only minor comorbidities are considered eligible for same-day discharge after laparoscopic Roux-en-Y gastric bypass (RYGB). Obstructive sleep apnea (OSA) is a common comorbidity in patients with morbid obesity, with a prevalence of around 70-80% among patients undergoing bariatric surgery. Continuous positive airway pressure (CPAP) is the current gold standard treatment for OSA. We aimed to investigate whether same-day discharge after RYGB is feasible for patients with compliant use of CPAP.

methodsIn this single-center prospective feasibility study, patients were selected who were scheduled for RYGB and were adequately treated for OSA. Compliance on the use of CPAP had to be proved (> 4 h per night for 14 consecutive nights). There were strict criteria on approval upon same-day discharge. The primary outcome was the rate of successful same-day discharge. Secondary outcomes included short-term complications, emergency department presentations, readmissions, and mortality.

resultsForty-nine patients underwent RYGB with intended same-day discharge, of whom 45 (92%) were successfully discharged. Three patients had an overnight stay because of divergent vital signs and one patient due to a delayed start of the surgery. Two patients (4%) were readmitted in the first 48 h postoperatively, both due to intraluminal bleeding which was managed conservatively (Clavien-Dindo 2). There were no severe complications in the first 48 h after surgery.

conclusionSame-day discharge after RYGB can be considered feasible for selected patients with well-regulated OSA.

Indexed as

Gastric BypassLaparoscopyObesity, MorbidSleep Apnea, ObstructiveFeasibility StudiesHumansPatient DischargeProspective StudiesRetrospective StudiesTreatment OutcomeGastric bypassObstructive sleep apneaOSARYGBSame-day discharge

Identifiers

PMID36598709
PMCPMC9812010
OpenAlexW4313488973

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.