在哪里进行袖状胃切除术？对大型州内住院患者和门诊患者数据库的分析。

Where are sleeves performed? An analysis of inpatient versus outpatient databases in a large state.

机构信息

Department of Surgery, Texas Tech Health Sciences Center, Paul Foster School of Medicine, El Paso, Texas.

出版信息

Surg Obes Relat Dis. 2019 Jul;15(7):1066-1074. doi: 10.1016/j.soard.2019.03.002. Epub 2019 Mar 20.

DOI:10.1016/j.soard.2019.03.002

PMID:31056409

Abstract

BACKGROUND

The sleeve gastrectomy (SG) is the most common bariatric surgery in the United States today. There is a trend toward performing SG as an outpatient procedure, either in an ambulatory setting or as an outpatient at a larger hospital. The term "outpatient" is used to designate essentially any patient without an inpatient order. Texas maintains the Texas Inpatient Public Use Data File (IPUDF) database and the Texas Outpatient Public Use Data File (OPUDF) database for inpatient and outpatient settings, respectively.

OBJECTIVES

To determine where SGs are performed by evaluating the Texas IPUDF and OPUDF for 2016.

SETTING

University hospital, United States.

METHODS

The Texas IPUDF and OPUDF were searched with the Current Procedural Terminology code of 43775 and the International Classification of Diseases, 10 revision, procedure code of 0DB64Z3. Patient demographic characteristics were also examined. We looked at the top 5 diagnoses in each database.

RESULTS

Of the 16,855 SGs performed in Texas in 2016, outpatient SGs accounted for 31.0% (5227 cases), and inpatient SGs accounted for 69% of the total with 11,628 cases reported. For patients reported in the OPUDF, mean length of stay (LOS) was 2.1 (standard deviation 3.2) days with a median of 1.0 (interquartile range = 1, 2) days; for patients in the IPUDF, mean LOS was 1.6 (standard deviation 1.5) days, and the median was 1.0 (interquartile range = 1, 1) days.

CONCLUSION

A third of SGs in Texas were performed under outpatient status. Further study is needed to determine the safety of this practice.

摘要

背景

袖状胃切除术（SG）是当今美国最常见的减肥手术。目前有将 SG 作为门诊手术的趋势，无论是在门诊环境中还是在更大的医院进行门诊手术。“门诊”一词用于指定没有住院医嘱的任何患者。德克萨斯州维护着德克萨斯州住院公共使用数据文件（IPUDF）和德克萨斯州门诊公共使用数据文件（OPUDF），分别用于住院和门诊环境。

目的

通过评估 2016 年的德克萨斯州 IPUDF 和 OPUDF，确定 SG 的实施地点。

地点

美国大学医院。

方法

使用当前程序术语代码 43775 和国际疾病分类，第 10 修订版，程序代码 0DB64Z3，分别对德克萨斯州的 IPUDF 和 OPUDF 进行搜索。还检查了患者的人口统计学特征。我们查看了每个数据库中排名前 5 的诊断。

结果

2016 年在德克萨斯州进行的 16855 例 SG 中，门诊 SG 占 31.0%（5227 例），住院 SG 占总数的 69%，报告了 11628 例。在 OPUDF 中报告的患者，平均住院时间（LOS）为 2.1 天（标准差 3.2），中位数为 1.0 天（四分位间距 = 1,2）；在 IPUDF 中，平均 LOS 为 1.6 天，中位数为 1.0 天（四分位间距 = 1,1）。