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

Research output: Contribution to journalArticle

7 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 languageEnglish (US)
JournalAmerican Journal of Surgery
DOIs
StateAccepted/In press - Jan 1 2017

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ASJC Scopus subject areas

  • Surgery

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Sheaffer, W. W., Day, R. W., Harold, K. L., Kidwell, J. T., Tiede, J. L., Benjamin, T. R., Bersoux, S., & Madura, J. A. (Accepted/In press). Decreasing length of stay in bariatric surgery: The power of suggestion. American Journal of Surgery. https://doi.org/10.1016/j.amjsurg.2017.09.041