TY - JOUR T1 - Unplanned Emergency Department Consultations and Readmissions Within 30 and 90 Days of Bariatric Surgery JO - Cirugía Española (English Edition) T2 - AU - Iskra,María P. AU - Ramón,José M. AU - Martínez-Serrano,Andrés AU - Serra,Carmen AU - Goday,Albert AU - Trillo,Lourdes AU - Lanzarini,Enrique AU - Pera,Manuel AU - Grande,Luis SN - 21735077 M3 - 10.1016/j.cireng.2017.12.009 DO - 10.1016/j.cireng.2017.12.009 UR - https://www.elsevier.es/en-revista-cirugia-espanola-english-edition--436-articulo-unplanned-emergency-department-consultations-readmissions-S2173507718300760 AB - IntroductionHospital readmission is used as a measure of quality healthcare. The aim of this study was to determine the incidence, causes, and risk factors related to emergency consultations and readmissions within 30 and 90 days in patients undergoing laparoscopic gastric bypass and laparoscopic sleeve gastrectomy. MethodsRetrospective study of 429 patients operated on from January 2004 to July 2015 from a prospectively maintained database and electronic medical records. Demographic data, type of intervention, postoperative complications, length of hospital stay and records of emergency visits and readmissions were analyzed. ResultsWithin the first 90 days postoperative, a total of 117 (27%) patients consulted the Emergency Department and 24 (6%) were readmitted. The most common reasons for emergency consultation were noninfectious problems related to the surgical wound (n=40, 34%) and abdominal pain (n=28, 24%), which was also the first cause of readmission (n=9, 37%). Postoperative complications, reintervention, associated surgery in the same operation and depression were risk factors for emergency consultation within the first 90 days of the postoperative period. ConclusionsDespite the high number of patients who visit the Emergency Department in the first 90 days of the postoperative period, few require readmission and none surgical reoperation. It is important to know the reasons for emergency consultation to establish preventive measures and improve the quality of care. ER -