Decreased Leak Rate and Need for Reintervention with Use of Closed Suction Calibration System: a Bariatric Surgery Quality Improvement Project. (Record no. 11048)

MARC details
000 -LEADER
fixed length control field 03998nam a22006497a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 220124s20212021 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0960-8923
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1007/s11695-021-05682-6 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1007/s11695-021-05682-6 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 34487320
245 ## - TITLE STATEMENT
Title Decreased Leak Rate and Need for Reintervention with Use of Closed Suction Calibration System: a Bariatric Surgery Quality Improvement Project.
251 ## - Source
Source Obesity Surgery. 31(12):5237-5242, 2021 12.
252 ## - Abbreviated Source
Abbreviated source Obes Surg. 31(12):5237-5242, 2021 12.
252 ## - Abbreviated Source
Former abbreviated source Obes Surg. 31(12):5237-5242, 2021 Dec.
253 ## - Journal Name
Journal name Obesity surgery
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2021
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2022
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2021 Dec
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status ppublish
266 ## - Date added to catalog
Date added to catalog 2021-11-01
268 ## - Previous citation
-- Obesity Surgery. 31(12):5237-5242, 2021 Dec.
501 ## - WITH NOTE
Local holdings Available online from MWHC library: 1997 - present
520 ## - SUMMARY, ETC.
Abstract BACKGROUND: Laparoscopic sleeve gastrectomy (SG) continues to grow in popularity as a primary bariatric procedure. The purpose of this study is to determine if leak rates and need for subsequent interventions are changed by the standardized use of a closed suction calibration system (CSCS) at a high-volume urban hospital.
520 ## - SUMMARY, ETC.
Abstract CONCLUSION: The use of a standardized closed suction calibration system resulted in overall decreased leak rates, which was associated with a clinically significant decrease in additional interventions. Copyright (c) 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
520 ## - SUMMARY, ETC.
Abstract METHODS: A retrospective review was conducted between January 1, 2016, and December 31, 2018, on SG patients. All cases performed in 2018 were completed with a closed suction calibration system. Patient demographics, comorbidities, operative variables, and outcomes were collected. Descriptive statistics and chi-squared test were used to compare the two groups. Logistic regression models were adjusted for patient- and procedure-specific factors.
520 ## - SUMMARY, ETC.
Abstract RESULTS: Four hundred ninety cases were performed before and 195 after institution of the CSCS. Groups were similar in most characteristics, including median body mass index (BMI) (46.4 vs 45.8 kg/m2, p = 0.79). Those in the closed suction cohort were more likely to have OSA requiring therapy (32.4% vs 46.6%, p < 0.01) and to have their cases performed robotically (55.4% vs 39.6%, p = 0.02). Post introduction of the CSCS, the overall leak rate was 0% (1.4% vs 0%, p = 0.09); overall need for postoperative interventions decreased (9.6% vs 2.6%, p = 0.009). After adjustment, a 69% decrease was observed in need for related additional intervention [aOR 0.31 (0.12-0.81), p = 0.017].
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Bariatric Surgery
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Laparoscopy
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Obesity, Morbid
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Bariatric Surgery/mt [Methods]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Calibration
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Gastrectomy/mt [Methods]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Humans
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Laparoscopy/mt [Methods]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Obesity, Morbid/su [Surgery]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Quality Improvement
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Retrospective Studies
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Suction
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Treatment Outcome
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department MedStar General Surgery Residency
656 ## - INDEX TERM--OCCUPATION
Department Surgery/Advanced Laparoscopic and Bariatric Surgery
656 ## - INDEX TERM--OCCUPATION
Department Surgery/General Surgery
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Alimi, Yewande
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Lofthus, Alexander
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Merle, Chamilka
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Metchik, Ariana
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Pardo, Ivanesa
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Shope, Timothy R
790 ## - Authors
All authors Alimi Y, Lofthus A, Merle C, Metchik A, Pardo I, Shope T, Vigiola Cruz M
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1007/s11695-021-05682-6">https://dx.doi.org/10.1007/s11695-021-05682-6</a>
Public note https://dx.doi.org/10.1007/s11695-021-05682-6
858 ## - ORCID
ORCID text Alimi, Yewande
Orcid <a href="http://orcid.org/0000-0002-7318-7158">http://orcid.org/0000-0002-7318-7158</a>
Name http://orcid.org/0000-0002-7318-7158
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 11/01/2021   34487320 34487320 11/01/2021 11/01/2021 Journal Article

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