Evidence map›Paper›PMID 36694090›Full record

ArticleObesity surgery2023

Same-Day Discharge After Laparoscopic Roux-en-Y Gastric Bypass: a Cohort of 500 Consecutive Patients.

Suzanne C Kleipool, Leontien M G Nijland, Steve M M de Castro, Marlou Vogel, H Jaap Bonjer, Hendrik A Marsman, Pim W J van Rutte, Ruben N van Veen

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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 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 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

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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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  19. Perioperative Care for Bariatric Surgery.Diagnostics (Basel, Switzerland) · 2024
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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.

Suzanne C KleipoolDepartment of Surgery, OLVG Hospital, Amsterdam, The Netherlands. s.c.kleipool@olvg.nl.
Leontien M G NijlandDepartment of Surgery, OLVG Hospital, Amsterdam, The Netherlands.
Steve M M de CastroDepartment of Surgery, OLVG Hospital, Amsterdam, The Netherlands.
Marlou VogelDepartment of Anesthesiology, OLVG Hospital, Amsterdam, The Netherlands.
H Jaap BonjerDepartment of Surgery, Amsterdam UMC, Amsterdam, The Netherlands.
Hendrik A MarsmanDepartment of Surgery, OLVG Hospital, Amsterdam, The Netherlands.
Pim W J van RutteDepartment of Surgery, OLVG Hospital, Amsterdam, The Netherlands.
Ruben N van VeenDepartment of Surgery, OLVG Hospital, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere is an increasing demand on hospital capacity worldwide due to the COVID-19 pandemic and local staff shortages. Novel care pathways have to be developed in order to keep bariatric and metabolic surgery maintainable. Same-day discharge (SDD) after laparoscopic Roux-en-Y gastric bypass (RYGB) is proved to be feasible and could potentially solve this challenge. The aim of this study was to investigate whether SDD after RYGB is safe for a selected group of patients.

methodsIn this single-center cohort study, low-risk patients were selected for primary RYGB with intended same-day discharge with remote monitoring. All patients were operated according to ERAS protocol. There were strict criteria on approval upon same-day discharge. It was demanded that patients should contact the hospital in case of any signs of complications. Primary outcome was the rate of successful same-day discharge without readmission within 48 h. Secondary outcomes included short-term complications, emergency department visits, readmissions, and mortality.

resultsFive hundred patients underwent RYGB with intended SDD, of whom 465 (93.0%) were successfully discharged. Twenty-one patients (4.5%) were readmitted in the first 48 h postoperatively. None of these patients had a severe bleeding. This results in a success rate of 88.8% of SDD without readmission within 48 h.

conclusionsSame-day discharge after RYGB is safe, provided that patients are carefully selected and strict discharge criteria are used. It is an effective care pathway to reduce the burden on hospital capacity.

Indexed as

COVID-19Gastric BypassLaparoscopyObesity, MorbidCohort StudiesHumansPandemicsPatient DischargePatient ReadmissionRetrospective StudiesTreatment OutcomeDay case surgeryRoux-en-Y gastric bypassSame-day discharge

Identifiers

PMID36694090
PMCPMC9873392

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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.