risk for hospital readmission following bariatric surgery再次入院后减肥手术的风险.pdfVIP

Risk for Hospital Readmission following Bariatric Surgery 1 2 1 1 1 Robert B. Dorman , Christopher J. Miller , Daniel B. Leslie , Federico J. Serrot , Bridget Slusarek , Henry 1 2 1 Buchwald , John E. Connett , Sayeed Ikramuddin * 1 Department of Surgery, University of Minnesota, Minneapolis, Minnesota, United States of America, 2 Division of Biostatistics, University of Minnesota, Minneapolis, Minnesota, United States of America Abstract Background and Objectives: Complications resulting in hospital readmission are important concerns for those considering bariatric surgery, yet present understanding of the risk for these events is limited to a small number of patient factors. We sought to identify demographic characteristics, concomitant morbidities, and perioperative factors associated with hospital readmission following bariatric surgery. Methods: We report on a prospective observational study of 24,662 patients undergoing primary RYGB and 26,002 patients undergoing primary AGB at 249 and 317 Bariatric Surgery Centers of Excellence (BSCOE), respectively, in the United States from January 2007 to August 2009. Data were collected using standardized assessments of demographic factors and comorbidities, as well as longitudinal records of hospital readmissions, complications, and mortality. Results: The readmission rate was 5.8% for RYGB and 1.2% for AGB patients 30 days after discharge. The greatest predictors for readmission following RYGB were prolonged length of stay (adjusted odds ratio [OR], 2.3; 95% confidence interval [CI], 2.0–2.7), open surgery (OR, 1.8; CI, 1.4–2.2), and pseudotumor cerebri (OR, 1.6; CI, 1.1–2.4). Prolonged length