Perioperative medicine & outcomes
Clinical Outcomes and Hospital Utilization Among Patients Undergoing Bariatric Surgery With Telemedicine Preoperative Care
Authors' conclusion
In this cohort study, clinical outcomes in the telemedicine group were not inferior to the control group.
Study context
- Population
- Patients undergoing laparoscopic Roux-en-Y gastric bypass or sleeve gastrectomy at a US academic hospital60-day follow-up
- Participants
- 1,182 patients
- Exposure
- Telemedicine vs in-person preoperative surgical evaluation
- Telemedicinen = 257
- Controln = 925reference
- Outcome
- Clinical outcomes (operating room delay, procedure duration, LOS, MAE) and hospital utilization (ED visit or readmission within 30 days)
Methodological detailssingle-centre, non-inferiority
- Single-centre
- Non-inferiority
Main finding
As reported in the abstract
- Operating room delay, minutes: Telemedicine mean 7.8 (SD 25.1; 95% CI 5.1-10.5) vs Control 4.2 (SD 11.1; 95% CI 1.0-7.4); noninferior
- P = .002
- Procedure duration, minutes: Telemedicine mean 134.4 (SD 52.8; 95% CI 130.9-137.8) vs Control 105.3 (SD 41.5; 95% CI 100.2-110.4); noninferior
- P < .001
- LOS, days: Telemedicine mean 1.9 (SD 1.1; 95% CI 1.8-1.9) vs Control 2.1 (SD 1.0; 95% CI 1.9-2.2); noninferior
- P < .001
- Major adverse events (MAE) within 30 days: Telemedicine 3.8% (95% CI 3.0%-5.7%) vs Control 1.6% (95% CI 0.4%-3.9%); noninferior
- P = .001
- MAE between 31 and 60 days: Telemedicine 2.2% (95% CI 1.3%-3.3%) vs Control 1.6% (95% CI 0.4%-3.9%); noninferior
- P < .001
- Emergency department (ED) visits: Telemedicine 18.8% (95% CI 16.3%-21.4%) vs Control 17.9% (95% CI 13.2%-22.6%); noninferior
- P = .03
- Hospital readmission: Telemedicine 10.1% (95% CI 8.1%-12.0%) vs Control 6.6% (95% CI 3.9%-10.4%); noninferior
- P = .02
Observational data: associations, not effects.
Further findings
Baseline characteristics
- Age, mean (SD) years: Telemedicine 40.8 (12.5) vs Control 43.0 (12.2)
- P = 0.01
- Female: Telemedicine 230 of 257 (89.5%) vs Control 766 of 925 (82.8%)
- P = 0.01
- Comorbidity: Control 887 of 925 (95.9%) vs Telemedicine 208 of 257 (80.9%)
- P < 0.001
Original publication
Clinical Outcomes and Hospital Utilization Among Patients Undergoing Bariatric Surgery With Telemedicine Preoperative Care. JAMA Netw Open. Published 1 February 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →