Decreasing length of stay in bariatric surgery: The power of suggestion

W. W. Sheaffer; R. W. Day; K. L. Harold; J. T. Kidwell; J. L. Tiede; T. R. Benjamin; S. Bersoux; J. A. Madura

doi:10.1016/j.amjsurg.2017.09.041

Decreasing length of stay in bariatric surgery: The power of suggestion

W. W. Sheaffer, R. W. Day, K. L. Harold, J. T. Kidwell, J. L. Tiede, T. R. Benjamin, S. Bersoux, J. A. Madura

General Surgery

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

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.

Original language	English (US)
Pages (from-to)	452-455
Number of pages	4
Journal	American journal of surgery
Volume	215
Issue number	3
DOIs	https://doi.org/10.1016/j.amjsurg.2017.09.041
State	Published - Mar 2018

ASJC Scopus subject areas

Surgery

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10.1016/j.amjsurg.2017.09.041

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title = "Decreasing length of stay in bariatric surgery: The power of suggestion",

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.",

author = "Sheaffer, {W. W.} and Day, {R. W.} and Harold, {K. L.} and Kidwell, {J. T.} and Tiede, {J. L.} and Benjamin, {T. R.} and S. Bersoux and Madura, {J. A.}",

note = "Publisher Copyright: {\textcopyright} 2017 Elsevier Inc.",

year = "2018",

month = mar,

doi = "10.1016/j.amjsurg.2017.09.041",

language = "English (US)",

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pages = "452--455",

journal = "American journal of surgery",

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TY - JOUR

T1 - Decreasing length of stay in bariatric surgery

T2 - The power of suggestion

AU - Sheaffer, W. W.

AU - Day, R. W.

AU - Harold, K. L.

AU - Kidwell, J. T.

AU - Tiede, J. L.

AU - Benjamin, T. R.

AU - Bersoux, S.

AU - Madura, J. A.

PY - 2018/3

Y1 - 2018/3

N2 - 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.

AB - 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.

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Decreasing length of stay in bariatric surgery: The power of suggestion

Abstract

ASJC Scopus subject areas

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