Key result
Roux-en-Y gastric bypass was associated with a significantly higher 30-day hospital readmission rate (5.8%) compared to adjustable gastric banding (1.2%).
Why the study?
Does primary RYGB compared to AGB affect 30-day hospital readmission in patients undergoing bariatric surgery?
Population
50,664 patients at Bariatric Surgery Centers of Excellence in the United States, mean age 45.9, 78.9% female.
Comparison
Primary Roux-en-Y gastric bypass or primary… vs Comparison between RYGB and AGB procedures
Design
Cohort
Follow-up
30 days after discharge
Authors
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Several patient factors associate with readmission after bariatric surgery; leaves open whether targeting them reduces events.
Observational (n=50,664)
Yes
Does primary RYGB compared to AGB affect 30-day hospital readmission in patients undergoing bariatric surgery?
Absolute Event Rate: 5.8% vs 1.2%
p-value: p=<0.001
Hospital readmission rates within 30 days of bariatric surgery are low, but significantly higher after RYGB compared to AGB, with prolonged length of stay being a major predictor for both.
Dorman et al. (2012) conducted an observational in Morbid obesity undergoing bariatric surgery (n=50,664). Roux-en-Y gastric bypass (RYGB) vs. Adjustable gastric banding (AGB) was evaluated on All-cause hospital readmission within 30 days of discharge (p=<0.001). Roux-en-Y gastric bypass was associated with a significantly higher 30-day hospital readmission rate (5.8%) compared to adjustable gastric banding (1.2%).
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