Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, Louisiana; Department of Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana.
Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, Louisiana.
Surg Obes Relat Dis. 2024 Sep;20(9):823-829. doi: 10.1016/j.soard.2024.03.010. Epub 2024 Mar 24.
The Metabolic and Bariatric Surgery Quality Improvement Project (MBSAQIP) is the largest bariatric surgery-specific clinical data set.
In 2020, the definition of emergency cases was altered to include only revisional or conversion cases and not primary cases. The aim of this study was to examine how this change affects the utility of the data set for emergency case tracking.
MBSAQIP database.
Emergency cases were extracted from available MBSAQIP data (2015-2021). A comparison of co-morbidity profiles was done, specifically before and after the recent change to how "emergency" is defined in the data set.
Eleven thousand and twenty-nine of the 1,048,575 total cases were coded as "emergency cases." From 2015 to 2019, 10,574 emergency cases were performed (∼2115 cases/yr), markedly decreasing in 2020 and 2021 to 455 cases (∼228 cases/yr). Before 2020, the most common procedures were the unlisted procedure of the stomach (45.14%, n = 3101), gastric band removal (25.3%, n = 2676), and reduction of internal hernia (11.8%, n = 1244). Between 2020 and 2021, this distribution changed with Roux-en-Y gastric bypass (RYGB), the most common emergency procedure (29.23%, n = 133). As expected from the change that captured only revisional cases, the average operative length was greater between 2020 and 2021 (127.6 versus 86.5 min).
Capturable emergency cases declined in 2020, a trend related to changing the definition of emergency as part of MBSAQIP standards. This change excludes data on internal hernia reduction and does not likely reflect a real change in the prevalence of emergency bariatric cases. Because capture for emergency cases has diminished, so has any prior utility of using MBSAQIP data for studying emergency cases.
代谢与减重外科学术质量改进项目（MBSAQIP）是最大的减重手术特定临床数据集。
2020 年，急诊病例的定义被修改，仅包括翻修或转换病例，而不包括原发性病例。本研究旨在探讨这一变化如何影响该数据集用于急诊病例跟踪的效用。
MBSAQIP 数据库。
从现有的 MBSAQIP 数据中提取急诊病例（2015-2021 年）。比较了合并症特征，特别是在数据集对“急诊”的定义最近发生变化前后。
在 1048575 例总病例中，有 11029 例被编码为“急诊病例”。2015 年至 2019 年，共进行了 10574 例急诊手术（约 2115 例/年），2020 年和 2021 年显著减少至 455 例（约 228 例/年）。在 2020 年之前，最常见的手术是胃的未列出手术（45.14%，n=3101）、胃带去除（25.3%，n=2676）和内疝复位（11.8%，n=1244）。在 2020 年至 2021 年期间，这种分布发生了变化， Roux-en-Y 胃旁路术（RYGB）成为最常见的急诊手术（29.23%，n=133）。正如 MBSAQIP 标准中修改急诊定义所预期的那样，2020 年至 2021 年期间，平均手术时间更长（127.6 分钟对 86.5 分钟）。
2020 年可捕获的急诊病例减少，这一趋势与 MBSAQIP 标准中修改急诊定义有关。这一变化排除了内疝复位的数据，并且不太可能反映出急诊减重病例的真实流行率变化。由于急诊病例的捕获量减少，使用 MBSAQIP 数据研究急诊病例的先前效用也随之减少。
