Impact of post-discharge phone calls on non-urgent hospital returns < 90 days following primary bariatric surgery.
Impact of post-discharge phone calls on non-urgent hospital returns < 90 days following primary bariatric surgery.
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DOI：
10.1007/s00464-022-09647-3
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发表时间：
2023-02
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影响因子：
--
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中科院分区：
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提供高质量的护理服务可能会改善减肥手术后的患者预后。我们检查了出院后电话通话的质量(PhDc)，以确定对初次减肥手术后早期( 90天)非紧急住院恢复(NURH)的影响。对2019年行Roux-en-Y胃分流术(RYGB)或袖状胃切除术(SG)的患者进行回顾性分析。比较了有护理和指导的患者(2019年1月至6月)和没有护理和指导的患者(2019年7月至12月)。收集了基线人口统计学、合并症、精神病史和博士学位。使用评分系统对索引PhDC的完整性进行编码，并根据呼叫质量进行评级。这些患者被分成Nuhr组和对照组(Never Return[NR])。初步分析审查了博士学位对努尔的影响。子分析检查了呼叫质量的影响。单因素分析采用卡方检验或Fisher‘s精确检验。多变量分析(MVA)用于确定NHR的预测因素。 ≤ 的p值为0.05时，具有统计学意义。共纳入359名患者。与NR组(n = 294)相比，NUHR(n = 65)更年轻(41.3 + 12.1比45.0 + 10.8年，p = 0.024)，有基线焦虑(41.5%比23.5%，p = 0.003)，接受RYGB(73.3%比57.8%，p = 0.031)。NURH组和NR组的PHD数有显著差异(p = 0.0206)。接受护理指导的患者与未接受护理指导的患者相比，高质量电话通话率显著更高(p <； 0.0001)。MVA表现出较低的年龄(OR = 0.97，CI：0.95-1.00；p = 0.023)，焦虑(OR = 2.09，CI：1.17-3.73；p = 0.012)，RYGB(OR = 1.88，CI：1.02-3.45；p = 0.042)，以及 &> 50%的呼叫质量与无PhDC(OR = 0.45，CI：0.25-0.83；P = 0.010)与NUHR独立相关。高质量的博士学位可能会在缓解国家健康状况方面发挥作用。护理指导是一种潜在的干预措施，可以降低初次减肥手术患者的高NHR发生率。
Quality of care delivery may improve patient outcomes post-bariatric surgery. We examined the quality of post-discharge phone calls (PhDC) to determine the impact on early (< 90 day) non-urgent hospital returns (NUHR) following primary bariatric surgery. A retrospective review was performed on patients who underwent Roux-en-Y-gastric bypass (RYGB) or sleeve gastrectomy (SG) in 2019. Patients were compared between presence of care coaching (Jan–June 2019) versus no care coaching (July–Dec 2019). Baseline demographics, comorbidities, psychiatric history, and PhDC were collected. Index PhDCs were coded for completeness using a scoring system and rated by call quality. Patients were stratified into NUHR versus control group (Never returns [NR]). Primary analysis examined the impact of PhDC on NUHR. Sub-analysis examined the impact of call quality. Univariate analysis was performed using Chi-square or Fisher’s exact tests. Multivariate analysis (MVA) was used to determine predictors of NUHR. A p-value of ≤ 0.05 was statistically significant. A total of 359 patients were included. Compared to the NR group (n = 294), NUHRs (n = 65) were more likely to be younger (41.3 + 12.1 versus 45.0 + 10.8 years, p = 0.024), with baseline anxiety (41.5% versus 23.5%, p = 0.003), and undergo RYGB (73.3% versus 57.8%, p = 0.031). There was a significant difference in number of PhDC in the NUHR and NR groups (p = 0.0206). Care-coached patients had significantly higher rates of high-quality phone calls (p < 0.0001) compared to non-care-coached patients. MVA demonstrated younger age (OR = 0.97, CI: 0.95–1.00; p = 0.023), anxiety (OR = 2.09, CI: 1.17–3.73; p = 0.012), RYGB (OR = 1.88, CI: 1.02–3.45; p = 0.042), and > 50% call quality versus no PhDC (OR = 0.45, CI: 0.25–0.83; p = 0.010) were independently associated with NUHRs. High-quality PhDCs may play a role in mitigating NUHRs. Care coaching represents a potential intervention to decrease high rates of NUHR in primary bariatric surgery patients.
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影响因子：
3.1
作者：
Jalilvand, Anahita;Levene, Katelyn A.;Noria, Sabrena F.
通讯作者：
Noria, Sabrena F.
DOI：
10.1007/s00464-018-6459-7
发表时间：
2019-05
期刊：
Surgical endoscopy
影响因子：
--
作者：
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通讯作者：
Noria S
影响因子：
5.7
作者：
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通讯作者：
Mourad, Michelle
DOI：
10.1007/s00464-015-4483-4
发表时间：
2016-06-01
影响因子：
3.1
作者：
Aman, Mustafa W.;Stem, Miloslawa;Lidor, Anne O.
通讯作者：
Lidor, Anne O.
影响因子：
2.2
作者：
Chandrasekaran, Aravind;Anand, Gopesh;Moffatt-Bruce, Susan
通讯作者：
Moffatt-Bruce, Susan