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Rates and reasons for emergency department presentations of patients wait-listed for public bariatric surgery in Tasmania, Australia
Citation
Kuzminov, A and Wilkinson, S and Palmer, AJ and Otahal, P and Hensher, M and Venn, AJ, Rates and reasons for emergency department presentations of patients wait-listed for public bariatric surgery in Tasmania, Australia, Obesity Research and Clinical Practice, 13, (2) pp. 184-190. ISSN 1871-403X (2019) [Refereed Article]
Copyright Statement
Copyright 2019 Asia Oceania Association for the Study of Obesity
DOI: doi:10.1016/j.orcp.2019.01.002
Abstract
Aims: To describe and evaluate public ED presentation rates and reasons for presenting in a cohort of patients wait-listed for public surgery.
Methods: All Tasmanians placed on the public wait-list for primary bariatric surgery in 2008-2013 were identified using administrative datasets along with their ED presentations in 2000-2014. The presentations were assigned to one of three periods: before wait-list placement, whilst on the wait-list, and after wait-list removal for publicly-funded surgery or drop-out. A negative binomial mixed-effects regression model was used to derive ED presentation incidence rate ratios (IRR) to compare observation periods and patient groups.
Results: 652 wait-listed patients had 5149 public ED presentations. 178 patients had publicly-funded bariatric surgery - all as laparoscopically adjustable gastric banding (LAGB). Overall, ED presentation rates did not change significantly post-surgery compared with the waiting period (IRR 1.19, 95%CI 0.90-1.56). Presentation rates significantly increased for digestive system (IRR 2.02, 95%CI 1.19-3.45) and psychiatric diseases (IRR 4.85, 95%CI 1.06-22.26) after surgery. The likelihood of being admitted from the ED significantly increased after surgery (31.7%-38.9%, p<0.05).
Conclusion: ED presentations were common for patients wait-listed for public bariatric surgery and rates did not decrease over an average of three years post-LAGB. The likelihood of being admitted to the hospital from the ED increased after surgery.
Item Details
Item Type: | Refereed Article |
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Keywords: | bariatric surgery, wait-list, emergency department presentations |
Research Division: | Health Sciences |
Research Group: | Health services and systems |
Research Field: | Health care administration |
Objective Division: | Health |
Objective Group: | Public health (excl. specific population health) |
Objective Field: | Behaviour and health |
UTAS Author: | Kuzminov, A (Dr Alexandr Kuzminov) |
UTAS Author: | Palmer, AJ (Professor Andrew Palmer) |
UTAS Author: | Otahal, P (Mr Petr Otahal) |
UTAS Author: | Hensher, M (Mr Martin Hensher) |
UTAS Author: | Venn, AJ (Professor Alison Venn) |
ID Code: | 132971 |
Year Published: | 2019 |
Deposited By: | Menzies Institute for Medical Research |
Deposited On: | 2019-05-29 |
Last Modified: | 2020-08-14 |
Downloads: | 0 |
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