Patient perspectives on emergency department self-referral after bariatric surgery

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
Haley StevensAmir A Ghaferi

Abstract

Reducing avoidable emergency department (ED) visits is an increasingly important target of quality improvement and cost containment efforts in bariatric surgery. Administrative and clinical registry data provide an incomplete picture of the factors contributing to postoperative ED utilization. Patient-centered interviews can help identify intervention opportunities. We sought to understand the circumstances surrounding patient self-referral to the ED after elective, primary bariatric surgery. A quality improvement collaborative in Michigan. A prospective review of clinically abstracted data and patient interviews was completed across 40 hospitals participating in a statewide quality improvement collaborative. Trained nurses collected data on the circumstances surrounding patients' 30-day postoperative ED visits using a previously validated interview tool. Over a year, 201 of 633 total ED visits met the inclusion criteria, with 78% of those patients being interviewed. The most common reported chief complaints were abdominal pain and nausea/vomiting. Patients reported high compliance with provider-driven perioperative measures to reduce ED visits. One third of patients stated urgency as the reason for not contacting their surgeon...Continue Reading

Citations

Aug 8, 2019·Surgical Endoscopy·Sarah SuhRana M Higgins
Mar 16, 2021·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Anahita JalilvandSabrena F Noria
Mar 24, 2021·Minerva Surgery·Emre GundogduMahir Ozmen

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