Toprak Şükrü Salih, Toprak Hatice, Köse Fulya
Karamanoğlu Mehmetbey University, Karaman, Turkey.
Obes Surg. 2025 Mar;35(3):875-883. doi: 10.1007/s11695-025-07710-1. Epub 2025 Feb 1.
Emergency department admissions significantly burden hospital staff and countries' health system. Studies are encouraged for effective and correct utilization of emergency departments. Rational management of obesity-related medical problems and postoperative complications may reduce emergency department visits. This study aimed to determine the rates, characteristics, and antecedents of emergency room admissions after metabolic and bariatric surgeries (MBSs) performed in our hospital. According to our hypothesis, experiencing postoperative complications is the most common reason for emergency department admissions.
The study was designed as a single-center, retrospective, cohort study. Metabolic and bariatric surgeries performed in our hospital between June 2021 and June 2023 were evaluated. Clavien Dindo Classification was used to classify complications. The reasons for emergency department admissions, re-hospitalization and surgical requirements, time relationships, and possible antecedents were examined in stages.
A total of 153 patients were evaluated in the study. The average follow-up period was found to be 609.63 ± 222.89. The emergency department admission rate following MBSs was found to be 31%, and the admission rate within the first month was 7.8%. The major complication rate following MBSs was 4.6%. Experiencing complications was the most important antecedent for admissions 1 month postoperatively.
In patients with complications after MBS, the discharge decision should be provided with stricter controls, and outpatient clinic controls should be planned more frequently. Providing training to patients on managing complications should be considered as a strategy that may reduce the number of emergency department visits.
ACTRN12624000810516.
急诊科收治给医院工作人员和国家卫生系统带来了沉重负担。鼓励开展研究以有效且正确地利用急诊科。合理管理肥胖相关医疗问题和术后并发症可能会减少急诊科就诊次数。本研究旨在确定我院进行代谢和减重手术后急诊室收治的发生率、特征及相关因素。根据我们的假设，术后发生并发症是急诊科收治的最常见原因。
本研究设计为单中心、回顾性队列研究。对2021年6月至2023年6月在我院进行的代谢和减重手术进行评估。采用Clavien Dindo分类法对并发症进行分类。分阶段检查急诊科收治的原因、再次住院情况、手术需求、时间关系及可能的相关因素。
本研究共评估了153例患者。平均随访期为609.63±222.89天。代谢和减重手术后的急诊科收治率为31%，第一个月内的收治率为7.8%。代谢和减重手术后的主要并发症发生率为4.6%。术后1个月内发生并发症是收治的最重要相关因素。
对于代谢和减重手术后出现并发症的患者，出院决策应进行更严格的把控，门诊复查计划应更频繁。对患者进行并发症管理培训应被视为一种可能减少急诊科就诊次数的策略。
ACTRN12624000810516。
