ID Consecutivo : 1889

Titulo

serie

Editorial

 

ISBN

Año de publicación Edición Primera Segunda Tercera Cuarta Quita Sexta Septima Octava Novena Decima Selecione una

Paginas Existencias 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Resumen
BACKGROUND: The efficacy of drains has long been debated in bariatric surgery. Drains may provide some theoretical benefits to early detection of anastomotic leaks and potential nonoperative treatment; however, there has never been data to support the practice. OBJECTIVE: The objective of this study was to evaluate the effect of drain placement after bariatric surgery. SETTING: This retrospective cohort study includes all hospitals in the United States that participated in the 2015 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. METHODS: Only patients undergoing sleeve gastrectomy or gastric bypass were included for the analysis. The main outcomes of interest were anastomotic leak, reoperation, all-cause morbidity, readmission, and mortality. Multivariable logistic regression was used to evaluate the effect of abdominal drainage on the outcomes of interest. RESULTS: A total of 142,631 patients were identified in the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database. After adjustment for major clinical variables, the odds of anastomotic leaks increased by 30% with the placement of a drain (odds ratio 1.30, 95% confidence interval [CI] 1.07-1.57, P = .01) while the odds of reoperation increased by 17% (95% CI 1.06-1.30, P = .01). The odds of all cause morbidity increased 19% (95% CI 1.14-1.25, P<.01), and odds of readmission were significantly higher (odds ratio1.12, 95% CI1.06-1.19, P<.01). The odds of mortality did not change significantly with the placement of a drain. CONCLUSIONS: Using a large observational cohort, this study provided no evidence that routine drainage is beneficial to patients, but rather may increase major morbidity. Our findings suggest that the use of routine abdominal drainage should be restricted to very select, high-risk cases.

 

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Idioma Español Inglés Portugués Francés Alemán

 

Tipo de Acceso

Restringido(ASCOFAME)

Libre

Registrado

Palabras clave

Coleccion ASCOFAME: Investigacion Desarrollo Profesional continuo Gestion curricular Calidad y acreditacion Evaluacion Investigacion Desarrollo Profesional

Disponibilidad:	Digital	Físico	Físico y Digital	Link Externo

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Publico	Pregrado	Posgrado	Decanatura
Objetivo:	Docentes	Médicos	Investigadores
	Clínicos	Educadores Médicos	Otros profesionales de la salud
	Evaluadores

 

Signatura topografica:

ID Consecutivo : 1889

Titulo

Editorial

 

Año de publicación Edición Primera Segunda Tercera Cuarta Quita Sexta Septima Octava Novena Decima Selecione una

Paginas Existencias 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Resumen
BACKGROUND: The efficacy of drains has long been debated in bariatric surgery. Drains may provide some theoretical benefits to early detection of anastomotic leaks and potential nonoperative treatment; however, there has never been data to support the practice. OBJECTIVE: The objective of this study was to evaluate the effect of drain placement after bariatric surgery. SETTING: This retrospective cohort study includes all hospitals in the United States that participated in the 2015 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. METHODS: Only patients undergoing sleeve gastrectomy or gastric bypass were included for the analysis. The main outcomes of interest were anastomotic leak, reoperation, all-cause morbidity, readmission, and mortality. Multivariable logistic regression was used to evaluate the effect of abdominal drainage on the outcomes of interest. RESULTS: A total of 142,631 patients were identified in the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database. After adjustment for major clinical variables, the odds of anastomotic leaks increased by 30% with the placement of a drain (odds ratio 1.30, 95% confidence interval [CI] 1.07-1.57, P = .01) while the odds of reoperation increased by 17% (95% CI 1.06-1.30, P = .01). The odds of all cause morbidity increased 19% (95% CI 1.14-1.25, P<.01), and odds of readmission were significantly higher (odds ratio1.12, 95% CI1.06-1.19, P<.01). The odds of mortality did not change significantly with the placement of a drain. CONCLUSIONS: Using a large observational cohort, this study provided no evidence that routine drainage is beneficial to patients, but rather may increase major morbidity. Our findings suggest that the use of routine abdominal drainage should be restricted to very select, high-risk cases.

 

Adjunte la portada del libro Si no tiene una imagen, descargue aqui la imagen de Ascofame

Idioma Español Inglés Portugués Francés Alemán

 

Tipo de Acceso

Restringido(ASCOFAME)

Libre

Registrado

Palabras clave

Coleccion ASCOFAME: Investigacion Desarrollo Profesional continuo Gestion curricular Calidad y acreditacion Evaluacion Investigacion Desarrollo Profesional

Disponibilidad:	Digital	Físico	Físico y Digital	Link Externo

Cargue el Documento

Ingrese el Link: ejemplo: http://www.google.com.co

 

Publico	Pregrado	Posgrado	Decanatura
Objetivo:	Docentes	Médicos	Investigadores
	Clínicos	Educadores Médicos	Otros profesionales de la salud
	Evaluadores

 

Signatura topografica:

ID Consecutivo : 1889

Titulo

Tipo : Ley Decreto Norma Resolucion Circular Directiva

 

Año de publicación

Resumen
BACKGROUND: The efficacy of drains has long been debated in bariatric surgery. Drains may provide some theoretical benefits to early detection of anastomotic leaks and potential nonoperative treatment; however, there has never been data to support the practice. OBJECTIVE: The objective of this study was to evaluate the effect of drain placement after bariatric surgery. SETTING: This retrospective cohort study includes all hospitals in the United States that participated in the 2015 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. METHODS: Only patients undergoing sleeve gastrectomy or gastric bypass were included for the analysis. The main outcomes of interest were anastomotic leak, reoperation, all-cause morbidity, readmission, and mortality. Multivariable logistic regression was used to evaluate the effect of abdominal drainage on the outcomes of interest. RESULTS: A total of 142,631 patients were identified in the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database. After adjustment for major clinical variables, the odds of anastomotic leaks increased by 30% with the placement of a drain (odds ratio 1.30, 95% confidence interval [CI] 1.07-1.57, P = .01) while the odds of reoperation increased by 17% (95% CI 1.06-1.30, P = .01). The odds of all cause morbidity increased 19% (95% CI 1.14-1.25, P<.01), and odds of readmission were significantly higher (odds ratio1.12, 95% CI1.06-1.19, P<.01). The odds of mortality did not change significantly with the placement of a drain. CONCLUSIONS: Using a large observational cohort, this study provided no evidence that routine drainage is beneficial to patients, but rather may increase major morbidity. Our findings suggest that the use of routine abdominal drainage should be restricted to very select, high-risk cases.

 

Adjunte la portada del libro Si no tiene una imagen, descargue aqui la imagen de Ascofame

Idioma Español Inglés Portugués Francés Alemán

 

Tipo de Acceso

Restringido(ASCOFAME)

Libre

Registrado

Palabras clave

Coleccion ASCOFAME: Investigacion Desarrollo Profesional continuo Gestion curricular Calidad y acreditacion Evaluacion Investigacion Desarrollo Profesional

Disponibilidad:	Digital	Físico	Físico y Digital	Link Externo

Cargue el Documento

Ingrese el Link: ejemplo: http://www.google.com.co

 

Publico	Pregrado	Posgrado	Decanatura
Objetivo:	Docentes	Médicos	Investigadores
	Clínicos	Educadores Médicos	Otros profesionales de la salud
	Evaluadores

 

ID Consecutivo : 1889

Titulo

Autor como conferencia

Paginas

 

Año de publicación

Resumen
BACKGROUND: The efficacy of drains has long been debated in bariatric surgery. Drains may provide some theoretical benefits to early detection of anastomotic leaks and potential nonoperative treatment; however, there has never been data to support the practice. OBJECTIVE: The objective of this study was to evaluate the effect of drain placement after bariatric surgery. SETTING: This retrospective cohort study includes all hospitals in the United States that participated in the 2015 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. METHODS: Only patients undergoing sleeve gastrectomy or gastric bypass were included for the analysis. The main outcomes of interest were anastomotic leak, reoperation, all-cause morbidity, readmission, and mortality. Multivariable logistic regression was used to evaluate the effect of abdominal drainage on the outcomes of interest. RESULTS: A total of 142,631 patients were identified in the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database. After adjustment for major clinical variables, the odds of anastomotic leaks increased by 30% with the placement of a drain (odds ratio 1.30, 95% confidence interval [CI] 1.07-1.57, P = .01) while the odds of reoperation increased by 17% (95% CI 1.06-1.30, P = .01). The odds of all cause morbidity increased 19% (95% CI 1.14-1.25, P<.01), and odds of readmission were significantly higher (odds ratio1.12, 95% CI1.06-1.19, P<.01). The odds of mortality did not change significantly with the placement of a drain. CONCLUSIONS: Using a large observational cohort, this study provided no evidence that routine drainage is beneficial to patients, but rather may increase major morbidity. Our findings suggest that the use of routine abdominal drainage should be restricted to very select, high-risk cases.

 

Adjunte la portada del libro Si no tiene una imagen, descargue aqui la imagen de Ascofame

Idioma Español Inglés Portugués Francés Alemán

 

Tipo de Acceso

Restringido(ASCOFAME)

Libre

Registrado

Palabras clave

Coleccion ASCOFAME: Investigacion Desarrollo Profesional continuo Gestion curricular Calidad y acreditacion Evaluacion Investigacion Desarrollo Profesional

Disponibilidad:	Digital	Físico	Físico y Digital	Link Externo

Cargue el Documento

Ingrese el Link: ejemplo: http://www.google.com.co

 

Publico	Pregrado	Posgrado	Decanatura
Objetivo:	Docentes	Médicos	Investigadores
	Clínicos	Educadores Médicos	Otros profesionales de la salud
	Evaluadores

 

ID Consecutivo : 1889

Titulo

 

Año de publicación

Producción de publicación

Volumen

ISBN

Frecuencia

Resumen
BACKGROUND: The efficacy of drains has long been debated in bariatric surgery. Drains may provide some theoretical benefits to early detection of anastomotic leaks and potential nonoperative treatment; however, there has never been data to support the practice. OBJECTIVE: The objective of this study was to evaluate the effect of drain placement after bariatric surgery. SETTING: This retrospective cohort study includes all hospitals in the United States that participated in the 2015 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. METHODS: Only patients undergoing sleeve gastrectomy or gastric bypass were included for the analysis. The main outcomes of interest were anastomotic leak, reoperation, all-cause morbidity, readmission, and mortality. Multivariable logistic regression was used to evaluate the effect of abdominal drainage on the outcomes of interest. RESULTS: A total of 142,631 patients were identified in the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database. After adjustment for major clinical variables, the odds of anastomotic leaks increased by 30% with the placement of a drain (odds ratio 1.30, 95% confidence interval [CI] 1.07-1.57, P = .01) while the odds of reoperation increased by 17% (95% CI 1.06-1.30, P = .01). The odds of all cause morbidity increased 19% (95% CI 1.14-1.25, P<.01), and odds of readmission were significantly higher (odds ratio1.12, 95% CI1.06-1.19, P<.01). The odds of mortality did not change significantly with the placement of a drain. CONCLUSIONS: Using a large observational cohort, this study provided no evidence that routine drainage is beneficial to patients, but rather may increase major morbidity. Our findings suggest that the use of routine abdominal drainage should be restricted to very select, high-risk cases.

 

Adjunte la portada del libro Si no tiene una imagen, descargue aqui la imagen de Ascofame

Idioma Español Inglés Portugués Francés Alemán

 

Tipo de Acceso

Restringido(ASCOFAME)

Libre

Registrado

Palabras clave

Coleccion ASCOFAME: Investigacion Desarrollo Profesional continuo Gestion curricular Calidad y acreditacion Evaluacion Investigacion Desarrollo Profesional

Disponibilidad:	Digital	Físico	Físico y Digital	Link Externo

Cargue el Documento

Ingrese el Link: ejemplo: http://www.google.com.co

 

Publico	Pregrado	Posgrado	Decanatura
Objetivo:	Docentes	Médicos	Investigadores
	Clínicos	Educadores Médicos	Otros profesionales de la salud
	Evaluadores

 

ID Consecutivo : 1889

Titulo videos

Año de publicación

Resumen
BACKGROUND: The efficacy of drains has long been debated in bariatric surgery. Drains may provide some theoretical benefits to early detection of anastomotic leaks and potential nonoperative treatment; however, there has never been data to support the practice. OBJECTIVE: The objective of this study was to evaluate the effect of drain placement after bariatric surgery. SETTING: This retrospective cohort study includes all hospitals in the United States that participated in the 2015 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. METHODS: Only patients undergoing sleeve gastrectomy or gastric bypass were included for the analysis. The main outcomes of interest were anastomotic leak, reoperation, all-cause morbidity, readmission, and mortality. Multivariable logistic regression was used to evaluate the effect of abdominal drainage on the outcomes of interest. RESULTS: A total of 142,631 patients were identified in the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database. After adjustment for major clinical variables, the odds of anastomotic leaks increased by 30% with the placement of a drain (odds ratio 1.30, 95% confidence interval [CI] 1.07-1.57, P = .01) while the odds of reoperation increased by 17% (95% CI 1.06-1.30, P = .01). The odds of all cause morbidity increased 19% (95% CI 1.14-1.25, P<.01), and odds of readmission were significantly higher (odds ratio1.12, 95% CI1.06-1.19, P<.01). The odds of mortality did not change significantly with the placement of a drain. CONCLUSIONS: Using a large observational cohort, this study provided no evidence that routine drainage is beneficial to patients, but rather may increase major morbidity. Our findings suggest that the use of routine abdominal drainage should be restricted to very select, high-risk cases.

 

Adjunte la Imagen del Video

 

Idioma Español Inglés Portugués Francés Alemán

 

Tipo de Acceso

Restringido(ASCOFAME)

Libre

Registrado

Palabras clave

Coleccion ASCOFAME: Investigacion Desarrollo Profesional continuo Gestion curricular Calidad y acreditacion Evaluacion Investigacion Desarrollo Profesional

https://pesquisa.bvsalud.org/portal/resource/es/mdl-29079385

Ingrese el Link: ejemplo: http://www.google.com.co

 

Publico	Pregrado	Posgrado	Decanatura
Objetivo:	Docentes	Médicos	Investigadores
	Clínicos	Educadores Médicos	Otros profesionales de la salud
	Evaluadores

 

ID Consecutivo : 1889

Titulo

Titulo Revista

ISSN

Año de publicación Suplemento

Numero: Volumen

Pagina Inicial Pagina Final

Resumen
BACKGROUND: The efficacy of drains has long been debated in bariatric surgery. Drains may provide some theoretical benefits to early detection of anastomotic leaks and potential nonoperative treatment; however, there has never been data to support the practice. OBJECTIVE: The objective of this study was to evaluate the effect of drain placement after bariatric surgery. SETTING: This retrospective cohort study includes all hospitals in the United States that participated in the 2015 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. METHODS: Only patients undergoing sleeve gastrectomy or gastric bypass were included for the analysis. The main outcomes of interest were anastomotic leak, reoperation, all-cause morbidity, readmission, and mortality. Multivariable logistic regression was used to evaluate the effect of abdominal drainage on the outcomes of interest. RESULTS: A total of 142,631 patients were identified in the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database. After adjustment for major clinical variables, the odds of anastomotic leaks increased by 30% with the placement of a drain (odds ratio 1.30, 95% confidence interval [CI] 1.07-1.57, P = .01) while the odds of reoperation increased by 17% (95% CI 1.06-1.30, P = .01). The odds of all cause morbidity increased 19% (95% CI 1.14-1.25, P<.01), and odds of readmission were significantly higher (odds ratio1.12, 95% CI1.06-1.19, P<.01). The odds of mortality did not change significantly with the placement of a drain. CONCLUSIONS: Using a large observational cohort, this study provided no evidence that routine drainage is beneficial to patients, but rather may increase major morbidity. Our findings suggest that the use of routine abdominal drainage should be restricted to very select, high-risk cases.

 

Base de datos bibliográfica Base de datos bibliográfica Seleccione una Access Medicine Biblioteca VirtualenSalud(BVS) Cochrane Central Dialnet Lilacs-Literatura Latinoamericana en Ciencias de la Salud Medline-PubMed Redalyc ScienceDirect SciELO-Scientific Electronic Library Online WHOLIS Otra

Imagen de portada

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Idioma Español Inglés Portugués Francés Alemán

 

Tipo de Acceso

Restringido(ASCOFAME)

Libre

Registrado

Palabras clave

Coleccion ASCOFAME: Investigacion Desarrollo Profesional continuo Gestion curricular Calidad y acreditacion Evaluacion Investigacion Desarrollo Profesional

Disponibilidad:	Digital	Físico	Físico y Digital	Link Externo

Cargue el Documento

Ingrese el Link: ejemplo: http://www.google.com.co

 

Publico	Pregrado	Posgrado	Decanatura
Objetivo:	Docentes	Médicos	Investigadores
	Clínicos	Educadores Médicos	Otros profesionales de la salud
	Evaluadores