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Predictors of morbidity in revisional bariatric surgery and bariatric emergencies at an MBSAQIP-accredited community hospital.

Publication ,  Journal Article
Tomey, D; Martinino, A; Nguyen-Lee, J; Lopez, A; Shenwai, P; Long, Z; Chai, J; Nayak, T; Wiseman, J; Oviedo, R
Published in: World journal of emergency surgery : WJES
October 2022

Bariatric surgery revisions and emergencies are associated with higher morbidity and mortality compared to primary bariatric surgery. No formal outcome benchmarks exist that distinguish MBSAQIP-accredited centers in the community from unaccredited institutions.A retrospective chart review was conducted on 53 bariatric surgery revisions and 61 bariatric surgical emergencies by a single surgeon at a high-volume community hospital accredited program from 2018 to 2020. Primary outcomes were complications or deaths occurring within 30-days of the index procedure. Secondary outcomes included operative time, leaks, surgical site occurrences (SSOs), and deep surgical site infections.There were no significant differences in the demographic characteristics of the study groups. Mean operative time was significantly longer for revisions as compared to emergency operations (149.5 vs. 89.4 min). Emergencies had higher surgical site infection (5.7% vs. 21.3%, p < 0.05) and surgical site occurrence (SSO) (1.9% vs. 29.5%, p < 0.05) rates compared to revisions. Logistic regression analysis identified several factors to be predictive of increased risk of morbidity: pre-operative albumin < 3.5 g/dL (p < 0.05), recent bariatric procedure within the last 30 days (p < 0.05), prior revisional bariatric surgery (p < 0.05), prior duodenal switch (p < 0.05), and pre-operative COPD (p < 0.05).Bariatric surgery revisions and emergencies have similar morbidity and mortality, far exceeding those of the primary operation. Outcomes comparable to those reported by urban academic centers can be achieved in community hospital MBSAQIP-accredited centers.

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Published In

World journal of emergency surgery : WJES

DOI

EISSN

1749-7922

ISSN

1749-7922

Publication Date

October 2022

Volume

17

Issue

1

Start / End Page

55

Related Subject Headings

  • Treatment Outcome
  • Surgery
  • Retrospective Studies
  • Obesity, Morbid
  • Morbidity
  • Humans
  • Hospitals, Community
  • Emergencies
  • Bariatric Surgery
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Tomey, D., Martinino, A., Nguyen-Lee, J., Lopez, A., Shenwai, P., Long, Z., … Oviedo, R. (2022). Predictors of morbidity in revisional bariatric surgery and bariatric emergencies at an MBSAQIP-accredited community hospital. World Journal of Emergency Surgery : WJES, 17(1), 55. https://doi.org/10.1186/s13017-022-00459-3
Tomey, Daniel, Alessandro Martinino, Joseph Nguyen-Lee, Alfred Lopez, Priya Shenwai, Zhuoxin Long, Jichong Chai, Tapan Nayak, James Wiseman, and Rodolfo Oviedo. “Predictors of morbidity in revisional bariatric surgery and bariatric emergencies at an MBSAQIP-accredited community hospital.World Journal of Emergency Surgery : WJES 17, no. 1 (October 2022): 55. https://doi.org/10.1186/s13017-022-00459-3.
Tomey D, Martinino A, Nguyen-Lee J, Lopez A, Shenwai P, Long Z, et al. Predictors of morbidity in revisional bariatric surgery and bariatric emergencies at an MBSAQIP-accredited community hospital. World journal of emergency surgery : WJES. 2022 Oct;17(1):55.
Tomey, Daniel, et al. “Predictors of morbidity in revisional bariatric surgery and bariatric emergencies at an MBSAQIP-accredited community hospital.World Journal of Emergency Surgery : WJES, vol. 17, no. 1, Oct. 2022, p. 55. Epmc, doi:10.1186/s13017-022-00459-3.
Tomey D, Martinino A, Nguyen-Lee J, Lopez A, Shenwai P, Long Z, Chai J, Nayak T, Wiseman J, Oviedo R. Predictors of morbidity in revisional bariatric surgery and bariatric emergencies at an MBSAQIP-accredited community hospital. World journal of emergency surgery : WJES. 2022 Oct;17(1):55.
Journal cover image

Published In

World journal of emergency surgery : WJES

DOI

EISSN

1749-7922

ISSN

1749-7922

Publication Date

October 2022

Volume

17

Issue

1

Start / End Page

55

Related Subject Headings

  • Treatment Outcome
  • Surgery
  • Retrospective Studies
  • Obesity, Morbid
  • Morbidity
  • Humans
  • Hospitals, Community
  • Emergencies
  • Bariatric Surgery
  • 3202 Clinical sciences