The prevalence of 30-day readmission after bariatric surgery is 0.6% to 11.3%, with a single hospital readmission nearly tripling the average 180-day cost of the surgery. Given that nearly 50% of early readmissions are preventable, close postoperative follow-up may allow for early identification of high-risk patients and preventative interventions.
This 7-month quality improvement project augmented clinical follow up post-bariatric surgery by incorporating a 7-10 day post-discharge call by an RD following a routine 1-3 day post-discharge call by an APP. Impact on readmission rate was examined. 166 participants included men and women ≥18 years of age, status post primary bariatric surgery only.
The proportion of patients experiencing a post-surgery hospital readmission or ED visit was evaluated across the sample, and stratified by procedure type and number of calls answered. Post-project readmission and ED visits were compared to those from the NYP Semi-Annual Report (SAR) using 2-sample tests of proportions. A clear downward trend was noted in the overall readmission rate for project participants (6.5% (SAR) vs. 4.8% (Project)). Readmission rate was related to procedure type: 9.2% (SAR) vs. 7.1% (Project) for post Roux-en-Y gastric bypass, and 5.4% (SAR) vs. 4% (Project), for sleeve gastrectomy. Patients who only connected on the 7-10 day post-discharge call had 0 readmission and post-operation ED visits.
Findings here are promising. Additional projects should be conducted on a larger scale and include factors that may place patients in a ‘higher risk’ category for readmission e.g., obstructive sleep apnea, diabetes, depression/anxiety, and history of DVT/PE.
Keywords: bariatric surgery, readmission, hospital readmission, sleeve gastrectomy, Roux-en-Y gastric bypass, readmission rates, readmissions, abdominal pain, nausea, vomiting, dehydration, complications
","abstract_html":"<p>The prevalence of 30-day readmission after bariatric surgery is 0.6% to 11.3%, with a single hospital readmission nearly tripling the average 180-day cost of the surgery. Given that nearly 50% of early readmissions are preventable, close postoperative follow-up may allow for early identification of high-risk patients and preventative interventions.</p> <p>This 7-month quality improvement project augmented clinical follow up post-bariatric surgery by incorporating a 7-10 day post-discharge call by an RD following a routine 1-3 day post-discharge call by an APP. Impact on readmission rate was examined. 166 participants included men and women ≥18 years of age, status post primary bariatric surgery only.</p> <p>The proportion of patients experiencing a post-surgery hospital readmission or ED visit was evaluated across the sample, and stratified by procedure type and number of calls answered. Post-project readmission and ED visits were compared to those from the NYP Semi-Annual Report (SAR) using 2-sample tests of proportions. A clear downward trend was noted in the overall readmission rate for project participants (6.5% (SAR) vs. 4.8% (Project)). Readmission rate was related to procedure type: 9.2% (SAR) vs. 7.1% (Project) for post Roux-en-Y gastric bypass, and 5.4% (SAR) vs. 4% (Project), for sleeve gastrectomy. Patients who only connected on the 7-10 day post-discharge call had 0 readmission and post-operation ED visits.</p> <p>Findings here are promising. Additional projects should be conducted on a larger scale and include factors that may place patients in a ‘higher risk’ category for readmission e.g., obstructive sleep apnea, diabetes, depression/anxiety, and history of DVT/PE.</p> <p>Keywords: bariatric surgery, readmission, hospital readmission, sleeve gastrectomy, Roux-en-Y gastric bypass, readmission rates, readmissions, abdominal pain, nausea, vomiting, dehydration, complications</p>","abstract_has_math":false,"creators":["Sharma, Payal"],"institution":null,"degree_name":"Doctor of Nursing Practice (DNP)","degree_level":"Open Access Thesis","degree_discipline":"Yale University School of Nursing","degree_department":null,"school":null,"contributors":["Joan Kearney"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2021,"date_issued":"2021-01-01T08:00:00Z","date_published":"2021-01-01T08:00:00Z","updated_at":"2026-07-24T06:16:14Z","subjects":["bariatric surgery","complications","hospital readmission","Roux-en-Y gastric bypass","sleeve gastrectomy"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://elischolar.library.yale.edu/ysndt/1126","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Joan Kearney"]},{"key":"dc:creator","label":"Author","values":["Sharma, Payal"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"thesis:degree_discipline","label":"Discipline","values":["Yale University School of Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Open Access Thesis"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Nursing Practice (DNP)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["bariatric surgery","complications","hospital readmission","Roux-en-Y gastric bypass","sleeve gastrectomy"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://elischolar.library.yale.edu/ysndt/1126"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["The prevalence of 30-day readmission after bariatric surgery is 0.6% to 11.3%, with a single hospital readmission nearly tripling the average 180-day cost of the surgery. Given that nearly 50% of early readmissions are preventable, close postoperative follow-up may allow for early identification of high-risk patients and preventative interventions.
This 7-month quality improvement project augmented clinical follow up post-bariatric surgery by incorporating a 7-10 day post-discharge call by an RD following a routine 1-3 day post-discharge call by an APP. Impact on readmission rate was examined. 166 participants included men and women ≥18 years of age, status post primary bariatric surgery only.
The proportion of patients experiencing a post-surgery hospital readmission or ED visit was evaluated across the sample, and stratified by procedure type and number of calls answered. Post-project readmission and ED visits were compared to those from the NYP Semi-Annual Report (SAR) using 2-sample tests of proportions. A clear downward trend was noted in the overall readmission rate for project participants (6.5% (SAR) vs. 4.8% (Project)). Readmission rate was related to procedure type: 9.2% (SAR) vs. 7.1% (Project) for post Roux-en-Y gastric bypass, and 5.4% (SAR) vs. 4% (Project), for sleeve gastrectomy. Patients who only connected on the 7-10 day post-discharge call had 0 readmission and post-operation ED visits.
Findings here are promising. Additional projects should be conducted on a larger scale and include factors that may place patients in a ‘higher risk’ category for readmission e.g., obstructive sleep apnea, diabetes, depression/anxiety, and history of DVT/PE.
Keywords: bariatric surgery, readmission, hospital readmission, sleeve gastrectomy, Roux-en-Y gastric bypass, readmission rates, readmissions, abdominal pain, nausea, vomiting, dehydration, complications
"]},{"key":"dc:title","label":"Title","values":["Reducing Early Hospital Readmission Rates After Bariatric Surgery"]}]}],"canonical_facts":{"dc:contributor":["Joan Kearney"],"dc:creator":["Sharma, Payal"],"dc:description.abstract":["The prevalence of 30-day readmission after bariatric surgery is 0.6% to 11.3%, with a single hospital readmission nearly tripling the average 180-day cost of the surgery. Given that nearly 50% of early readmissions are preventable, close postoperative follow-up may allow for early identification of high-risk patients and preventative interventions.
This 7-month quality improvement project augmented clinical follow up post-bariatric surgery by incorporating a 7-10 day post-discharge call by an RD following a routine 1-3 day post-discharge call by an APP. Impact on readmission rate was examined. 166 participants included men and women ≥18 years of age, status post primary bariatric surgery only.
The proportion of patients experiencing a post-surgery hospital readmission or ED visit was evaluated across the sample, and stratified by procedure type and number of calls answered. Post-project readmission and ED visits were compared to those from the NYP Semi-Annual Report (SAR) using 2-sample tests of proportions. A clear downward trend was noted in the overall readmission rate for project participants (6.5% (SAR) vs. 4.8% (Project)). Readmission rate was related to procedure type: 9.2% (SAR) vs. 7.1% (Project) for post Roux-en-Y gastric bypass, and 5.4% (SAR) vs. 4% (Project), for sleeve gastrectomy. Patients who only connected on the 7-10 day post-discharge call had 0 readmission and post-operation ED visits.
Findings here are promising. Additional projects should be conducted on a larger scale and include factors that may place patients in a ‘higher risk’ category for readmission e.g., obstructive sleep apnea, diabetes, depression/anxiety, and history of DVT/PE.
Keywords: bariatric surgery, readmission, hospital readmission, sleeve gastrectomy, Roux-en-Y gastric bypass, readmission rates, readmissions, abdominal pain, nausea, vomiting, dehydration, complications
"],"dc:identifier":["https://elischolar.library.yale.edu/ysndt/1126"],"dc:subject":["bariatric surgery","complications","hospital readmission","Roux-en-Y gastric bypass","sleeve gastrectomy"],"dc:title":["Reducing Early Hospital Readmission Rates After Bariatric Surgery"],"thesis:degree_discipline":["Yale University School of Nursing"],"thesis:degree_level":["Open Access Thesis"],"thesis:degree_name":["Doctor of Nursing Practice (DNP)"]},"updated_at":"2026-07-24T06:16:14Z"}