Impact of Functional Status on 30-day Resource Utilization and Organ System Complications Following Bariatric Surgery
Study Details
Study Description
Brief Summary
The goal of this observational study is to assess the effect of functional status on bariatric surgical thirty-day outcomes. The main questions it aims to answer are:
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Is functional status associated with higher incidence of 30-day unplanned resource utilization?
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Is functional status associated with higher incidences of secondary adverse events?
Participants will be sampled from the 2015-2019 American College of Surgeons National Surgical Quality Improvement Program
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Dependent functional status 223 patients; "dependent" for those documented as "partially dependent" or "totally dependent." |
Procedure: Bariatric surgery
Current Procedural Terminology (CPT) codes: 43644, 43645, 43770, 43775, 43842, 43843, 43845, 43846, 43847.
Drug: General anesthetic
Cases were required to have a documented "general anesthesia" anesthetic technique. Administered drugs were otherwise indeterminate under the current study design (observational study of a deidentified database).
Device: Indeterminate
Devices were indeterminate under the current study design (observational study of a deidentified database).
|
| Independent functional status 65404 patients; "independent" for those documented as such. |
Procedure: Bariatric surgery
Current Procedural Terminology (CPT) codes: 43644, 43645, 43770, 43775, 43842, 43843, 43845, 43846, 43847.
Drug: General anesthetic
Cases were required to have a documented "general anesthesia" anesthetic technique. Administered drugs were otherwise indeterminate under the current study design (observational study of a deidentified database).
Device: Indeterminate
Devices were indeterminate under the current study design (observational study of a deidentified database).
|
Outcome Measures
Primary Outcome Measures
- Unplanned resource utilization (composite) [30 days]
A composite binary outcome comprising unplanned readmission, return to the operating room, or prolonged (≥ 30 day) length of stay.
Secondary Outcome Measures
- Composite organ system complications [30 days]
Cardiac complications included cardiac arrest and myocardial infarction. The only neurologic complication that was captured was stroke/cerebrovascular accident. Respiratory complications included reintubation, prolonged ventilatory wean, and pneumonia. Hematologic/infectious complications included superficial surgical site infection (SSI), deep incisional SSI, organ space SSI, wound dehiscence, bleeding, sepsis, septic shock, deep venous thrombosis, and pulmonary embolism. Renal complications included progressive renal insufficiency and acute kidney injury.
- Mortality [30 days]
Mortality
Eligibility Criteria
Criteria
Inclusion Criteria:
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Current Procedural Terminology (CPT) codes: 43644, 43645, 43770, 43775, 43842, 43843, 43845, 43846, 43847
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Elective, non-emergent cases
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"General surgery" surgical specialty
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"General anesthesia" anesthetic technique
Exclusion Criteria:
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Documented concurrent or other procedures
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Patients admitted to the hospital for greater than one day preceding surgery
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Acute kidney injury (preoperative)
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End-stage renal disease (preoperative)
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Metastatic disease (preoperative)
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Wound infection (preoperative)
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Sepsis (preoperative)
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- University of Virginia
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- HSRZOKZZ2