About: Trends in Drain Utilization in Bariatric Surgery: an Analysis of the MBSAQIP Database 2015

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About: Trends in Drain Utilization in Bariatric Surgery: an Analysis of the MBSAQIP Database 2015–2017 Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Trends in Drain Utilization in Bariatric Surgery: an Analysis of the MBSAQIP Database 2015–2017
Creator	Lodeiro, Carlos Tyroch, Alan Clapp, Benjamin Coleman, Ginger Cullen, Robert Dodoo, Christopher Sadri, Babak Swinney, Ira Wicker, Ellen
Source	PMC
abstract	BACKGROUND: Laparoscopic Roux-en-Y gastric bypass (LRYGB) and sleeve gastrectomy (SG) are the two most common bariatric operations. With the implementation of enhanced recovery protocols, the use of drains should decrease. METHODS: The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database was queried for the years 2015–2017. Our inclusion criteria included all patients undergoing a primary LRYGB, SG, and revisions. We examined demographics, operative characteristics, the use of drains, and postoperative complications. Continuous variables were summarized using means and standard deviations (SD). Categorical variables were summarized using frequencies and proportions. Student’s T test (Wilcoxon sum rank test in the case of skewed data) and chi-squared analysis were used to assess the baseline differences in drain utilization. RESULTS: From 2015 to 2017, there were 388,239 bariatric cases performed without drains and 100,221 performed with drains. Twenty-nine percent of LRYGB patients had a drain placed but only 16.7% of SG patients. The percentage of LRYGB that had a drain dropped from 33.1 to 24.6% during the study period and that of SG dropped from 20.3 to 13.6%. Patients that had drains placed were more likely to have a provocative test at the time of surgery (prevalence ratio (PR) 2.24) and to have a postoperative swallow study (PR 1.93). CONCLUSIONS: Drains are still commonly used in bariatric patients. Over the study period, there was a decrease in the use of drains in both bypass and sleeve patients. Patients with a drain were more likely to have had a provocative test and a swallow study and have a higher rate of complications and mortality. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11695-019-04215-6) contains supplementary material, which is available to authorized users.
has issue date	2019-10-25(xsd:dateTime)
bibo:doi	10.1007/s11695-019-04215-6
bibo:pmid	31654344
has license	no-cc
sha1sum (hex)	a86248b209110f5cab04a0de5f999a5b7b57f5b5
schema:url	https://doi.org/10.1007/s11695-019-04215-6
resource representing a document's title	Trends in Drain Utilization in Bariatric Surgery: an Analysis of the MBSAQIP Database 2015–2017
has PubMed Central identifier	PMC7223106
has PubMed identifier	31654344
schema:publication	Obes Surg
resource representing a document's body	covid:a86248b209110f5cab04a0de5f999a5b7b57f5b5#body_text
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