Comparison of Hospital Readmission Rates after Laparoscopic Adjustable Gastric Band and Roux-En-Y Surgery

2.50
Hdl Handle:
http://hdl.handle.net/10755/150520
Type:
Presentation
Title:
Comparison of Hospital Readmission Rates after Laparoscopic Adjustable Gastric Band and Roux-En-Y Surgery
Abstract:
Comparison of Hospital Readmission Rates after Laparoscopic Adjustable Gastric Band and Roux-En-Y Surgery
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Wheeler, Erlinda C., DNS, RN
P.I. Institution Name:University of Delaware
Title:Associate Professor
Co-Authors:Thomas Hardie, EdD, RN, CS, NP; Gail Wynn, MD, FACS; Isaias Irgau, MD, FACS
[Research Presentation] WHO reports that there is an escalating global epidemic of persons who are obese. Morbid obesity is a prelude to other diseases that affect essentially every organ system such as hypertension, atherosclerosis, heart attacks, sleep apnea, osteoarthritis, and diabetes.  In the, over 400,000 deaths per year can be attributed to obesity.  Bariatric surgery is currently the most effective and enduring treatment.  In recent years, laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic adjustable gastric band (LAGB) are the most common bariatric technique performed worldwide.  Current research in this field focuses on the effectiveness and complication rates of these two competing surgical alternatives.  Patients will clearly benefit from better information in order to make informed decisions regarding safety and efficacy. Purpose: The purpose of this study was to compare the rate of readmission and difference in time of readmission between patients who had undergone LRYGB and those who had the LAGB. Methods: Data was collected from two hospitals surgery departments in,. One thousand seventy patients have undergone bariatric surgery from 2002 to 2007.  Fifty one percent received LAGB and 49% received LRYGB procedure. test was performed to determine if there was a difference in the rate of those requiring hospitalization between the two types of surgery.  A Kaplan-Meier survival analysis was also performed. Results: The LAGB readmission rate was significantly less than Roux-en-Y bypass surgery.  The study also suggests that there is no statistical difference in the onset of readmission between the two groups. However, LAGB patients were readmitted to the hospital sooner. The magnitude of difference in mean days for readmission in the LRYGB patients indicates problems develop later. Conclusion: The study shows clear advantage of LAGB than LRYGB on rates of readmission. Literature suggest other advantages of LAGB.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleComparison of Hospital Readmission Rates after Laparoscopic Adjustable Gastric Band and Roux-En-Y Surgeryen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150520-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Comparison of Hospital Readmission Rates after Laparoscopic Adjustable Gastric Band and Roux-En-Y Surgery</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Wheeler, Erlinda C., DNS, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Delaware</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ewheeler@udel.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Thomas Hardie, EdD, RN, CS, NP; Gail Wynn, MD, FACS; Isaias Irgau, MD, FACS</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] WHO reports that there is an escalating global epidemic of persons who are obese. Morbid obesity is a prelude to other diseases that affect essentially every organ system such as hypertension, atherosclerosis, heart attacks, sleep apnea, osteoarthritis, and diabetes.&nbsp; In the, over 400,000 deaths per year can be attributed to obesity.&nbsp; Bariatric surgery is currently the most effective and enduring treatment.&nbsp; In recent years, laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic adjustable gastric band (LAGB) are the most common bariatric technique performed worldwide.&nbsp; Current research in this field focuses on the effectiveness and complication rates of these two competing surgical alternatives.&nbsp; Patients will clearly benefit from better information in order to make informed decisions regarding safety and efficacy. Purpose: The purpose of this study was to compare the rate of readmission and difference in time of readmission between patients who had undergone LRYGB and those who had the LAGB. Methods: Data was collected from two hospitals surgery departments in,. One thousand seventy patients have undergone bariatric surgery from 2002 to 2007.&nbsp; Fifty one percent received LAGB and 49% received LRYGB procedure. test was performed to determine if there was a difference in the rate of those requiring hospitalization between the two types of surgery.&nbsp; A Kaplan-Meier survival analysis was also performed. Results: The LAGB readmission rate was significantly less than Roux-en-Y bypass surgery.&nbsp; The study also suggests that there is no statistical difference in the onset of readmission between the two groups. However, LAGB patients were readmitted to the hospital sooner. The magnitude of difference in mean days for readmission in the LRYGB patients indicates problems develop later. Conclusion: The study shows clear advantage of LAGB than LRYGB on rates of readmission. Literature suggest other advantages of LAGB.</td></tr></table>en_GB
dc.date.available2011-10-26T10:35:21Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:35:21Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.