Abstract
BACKGROUND: Within a finite resource-limited national health service, a
significant proportion of the cost of bariatric surgery is dependent on
the length of stay of inpatients. This study was designed to investigate
the factors that influence the length of post-operative stay in these
patients. In particular, the effect of four common factors were explored
in two bariatric procedures. METHODS: This is a retrospective study
examining the length of stay in patients who underwent a laparoscopic
sleeve gastrectomy (SG) and a laparoscopic Roux-En-Y gastric bypass
(RNY) between July 2015 and February 2018 by a single surgeon. The
significance of four factors were assessed: BMI, ASA grade, a diagnosis
of diabetes and the day of the week the operation occurred. RESULTS:
Median length of stay for SG patients was 2 [2,3] days. This was
unaffected by our factors examined. Median length of stay for RNY was 2
[2,3] days. This was unaffected by ASA grade or a pre-existing
diagnosis of diabetes. Day of the week and BMI significantly affected
length of stay for RNY patients. Patients operated on a Friday stayed on
average one day longer (p=0.002). Patients with a BMI over 60 stayed on
average 2 days more (p=0.008) CONCLUSION: To optimise costs in the
health service, more attention should be placed on when RNY and SG
procedures are performed during the week. This is especially relevant
when dealing with patients with high BMIs.