• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy-Coming Soon!
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

BASELINE SYMPTOM SCALE SCORES MAY PREDICT EARLY READMISSIONS AFTER MINIMALLY INVASIVE FOREGUT SURGERY

Anahita D Jalilvand, MD, Patricia Belle, Monet Mcnally, Kyle A Perry, MD. The Ohio State Wexner Medical Center

INTRODUCTION: A significant proportion of early readmissions following elective surgery have been characterized as non-urgent and potentially avoidable with appropriate patient education and post-operative follow-up. The goal of this study was to characterize early readmissions after laparoscopic paraesophageal hernia repair (LPEHR) and Nissen Fundoplication (LNF) and determine independent predictors for non-urgent readmissions.

METHODS: Patients who underwent elective LPEHR and LNF at a single academic institution from 2011 to 2017 were retrospectively reviewed (n=562). Redo and emergent operations were excluded. Baseline medical, demographic and operative data, and post-operative complications were documented. Readmissions within 90 days of discharge were categorized by whether they were surgery-related and if they required urgent intervention. Readmissions requiring symptom control and intravenous fluid resuscitation only (pain, nausea/vomiting, dysphagia) were deemed non-urgent readmissions (NUR). Variables associated with NUR were determined through univariate analyses, and multiple logistic regressions were completed to identify independent patient-level predictors of NUR. A p value <0.05 was considered statistically significant.   

RESULTS: Sixty-eight patients (12.1%) were readmitted within 90 days of discharge; and 56 (9.9%) were surgery related. Thirty-nine patients (6.9%) were readmitted and classified as surgery-related NUR. On univariate analysis, patients in the NUR group had significantly lower body mass index (BMI) (28.4 ± 5.9 kg/m2vs 31.4 ± 5.4 kg/m2, p<0.01) and were less likely to be Caucasian (74.4% vs 90.7%, p<0.01) compared to non-readmitted patients. While there was no association with age (p=0.37), insurance status (p=0.39), or ASA score (p=0.39), a baseline diagnosis of depression was significantly associated with NUR (41.0% vs 25.9%, p=0.04). NUR patients also had significantly higher baseline Gastroesophageal Reflux Symptom Scale (GERSS) scores (45.5 (28-60) vs 35 (19-48), p=0.02), and trended towards decreased lower esophageal sphincter pressure (LESP) (10.6 (3.3-18) vs 15.2 (7.8-25), p=0.09) and higher rates of dysphagia post-operatively (10.3% vs 4.5%, p=0.11). Length of stay, surgery type, operative time, and other post-operative complications were not associated with NUR. After adjusting for LESP, depression, race, and post-operative dysphagia, independent predictors of NUR included decreasing BMI (OR 0.92, p=0.04) and having a GERSS score in the top quartile (OR 5.8, p=0.03).

CONCLUSIONS: In this study, the majority of surgery related readmissions following elective LPEHR and LNF were non-urgent and potentially preventable. Baseline symptom severity and increased post-operative dysphagia may indicate increased risk of NUR, and represent opportunities for early post-operative education and outpatient intervention to reduce unnecessary readmissions after elective foregut surgery. 


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 95166

Program Number: S063

Presentation Session: Residents and Fellows Session

Presentation Type: ResFel

44

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2019 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Critical View of Safety (CVS) Challenge QR Code

The SAGES Critical View of Safety Challenge – Donate Your Lap Chole Videos!

The Society of American Gastrointestinal and Endoscopic Surgeons is hosting the first Artificial Intelligence Data Challenge conducted by surgeons. The aim of this challenge is to generate a large and diverse dataset of laparoscopic cholecystectomy videos, annotated with respect to the subcomponents of the Critical View of Safety (CVS). Computer scientists from all over the […]

Respuesta de SAGES al Estudio NordICC sobre el beneficio de las colonoscopias de detección

SAGES desea aclarar los resultados del estudio NordICC y colocarlos en contexto de los esfuerzos de varias agencias nacionales para reducir el riesgo de cáncer colorrectal – la segunda causa de muerte por cáncer más frecuente en los Estados Unidos-, mediante la promoción de la detección y tratamiento oportuno de las lesiones.

SAGES Response to NordICC Study Regarding Benefit of Screening Colonoscopies

The NordICC Study recently published in The New England Journal of Medicine and widely reported on by media outlets has raised questions regarding the benefit of screening colonoscopy in lowering the risk of colorectal cancer and cancer-related deaths among otherwise healthy and symptom-free men and women aged 55 to 64. Provocative headlines and commentaries have […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons