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 2019 Asia Oceania Association for the Study of Obesity
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 Type:||Refereed Article|
|Keywords:||bariatric surgery, wait-list, emergency department presentations|
|Research Division:||Medical and Health Sciences|
|Research Group:||Public Health and Health Services|
|Research Field:||Health Care Administration|
|Objective Group:||Public Health (excl. Specific Population Health)|
|Objective Field:||Behaviour and Health|
|UTAS Author:||Kuzminov, A (Mr 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)|
|Deposited By:||Menzies Institute for Medical Research|
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