( period averaged $65031 compared with $...)Obesity Surgery Complication Rates Higher than Previously Thought,Health

period averaged $65,031 compared with $27,125 for those who did not have to be hospitalized again.

Most studies of complications from obesity surgery, also known as bariatric or weight-loss surgery, have been limited to those that occur before hospital discharge or at the most, up to 30 days post-discharge. As noted, the new study extends the observation period up to 180 days – 6 months – after hospital discharge.

AHRQ’s William Encinosa, Ph.D., Didem Bernard, Ph.D., and Claudia Steiner, M.D., M.P.H., also analyzed differences between 30-day and 180-day post-operative complication rates. They found that 10.8 percent of patients who had not experienced a complication within 30 days did so in the following 150 days. The four types of complications that increased the most during this period were anastomosis complications (such as intestinal leaks), marginal ulcers, abdominal hernia, and dumping.

During this same 30-day versus 180-day period, the proportion of patients who had to be readmitted to hospitals with complications increased by 50 percent – from 4.8 percent to 7.2 percent.

The researchers also studied 44 types of conditions that can occur in patients following major surgery, regardless of the type of operation, such as complications of surgical procedure, intestinal obstruction, gastrointestinal disorders, abdominal pain, chest pain, and nutritional disorders. Readmissions of post-obesity surgery patients for these conditions increased from 6.5 percent to 10.6 percent between 30 and 180 days.

In addition, the study team analyzed visits to emergency rooms and office doctors by obesity surgery patients for the 12 types of complications specific to obesity surgery and for the 44 general post-operative conditions, differences in complication rates for banding and gastroplasty versus gastric bypass surgery, and differences by age groups.

(Source: ewswise)
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