W W Sheaffer1, R W Day2, K L Harold2, J T Kidwell2, J L Tiede2, T R Benjamin2, S Bersoux2, J A Madura3. 1. Department of General Surgery, Mayo Clinic, Arizona, USA. Electronic address: sheaffer.william@mayo.edu. 2. Department of General Surgery, Mayo Clinic, Arizona, USA. 3. Department of General Surgery, Mayo Clinic, Arizona, USA. Electronic address: madura.james@mayo.edu.
Abstract
OBJECTIVE: Enhanced recovery has been utilized to decrease length of stay and cost in bariatric surgery. We have recently focused efforts on pre-operative education with regards to discharge on the first post-operative day. The aim of this study was to determine the effectiveness of pre-operative education on discharge timing and readmission rates. METHODS: A retrospective review was conducted after revising discharge expectation education. Patients undergoing first time bariatric operations were included. Early group education focused on average patient stay of 2 postoperative days. Revised education informed patients they could go home on the first post-operative day. RESULTS: A total of 125 patients met inclusion criteria. Implementation of preoperative education was associated with a decrease in mean LOS and greater percentage of patients discharged on post-operative day one. There was no difference in readmission and complication rates. CONCLUSION: Effective pre-operative education can decrease length of stay in first time laparoscopic bariatric surgery.
OBJECTIVE: Enhanced recovery has been utilized to decrease length of stay and cost in bariatric surgery. We have recently focused efforts on pre-operative education with regards to discharge on the first post-operative day. The aim of this study was to determine the effectiveness of pre-operative education on discharge timing and readmission rates. METHODS: A retrospective review was conducted after revising discharge expectation education. Patients undergoing first time bariatric operations were included. Early group education focused on average patient stay of 2 postoperative days. Revised education informed patients they could go home on the first post-operative day. RESULTS: A total of 125 patients met inclusion criteria. Implementation of preoperative education was associated with a decrease in mean LOS and greater percentage of patients discharged on post-operative day one. There was no difference in readmission and complication rates. CONCLUSION: Effective pre-operative education can decrease length of stay in first time laparoscopic bariatric surgery.
Authors: Amlish B Gondal; Chiu-Hsieh Hsu; Federico Serrot; Andrea Rodriguez-Restrepo; Audriana N Hurbon; Carlos Galvani; Iman Ghaderi Journal: Obes Surg Date: 2019-02 Impact factor: 4.129