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Comparing Bariatric Surgery Outcomes in Predominantly High-Risk Asian Patients to Global Benchmarks

Completed
Conditions
Bariatric Surgery
Cost of Care
Complications
Registration Number
NCT06649578
Lead Sponsor
National University Hospital, Singapore
Brief Summary

While metabolic-bariatric surgery is a safe and well-established surgery, complications do occur and can have significant impact on the patient. With the study, the investigators aim to establish the proportion of patients that will have complications and understand what the impact of complications are on costs.

Detailed Description

Complications after metabolic-bariatric surgery can be catastrophic and have significant impact on costs, morbidity, and mortality. As current global benchmarks for complications rates in MBS are based on standard risk patients in western populations, the benchmark complication rates in high-risk patients and Asian populations are unknown. The investigators aim to evaluate the incidence of complications in 1016 consecutive patients and the impact of complications on costs.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1016
Inclusion Criteria
  • The inclusion criteria were patients who underwent either primary or revisional MBS comprising Laparoscopic Sleeve Gastrectomy (LSG), Roux-en-Y Gastric Bypass (RYGB) or One-Anastomosis Gastric Bypass (OAGB).
Exclusion Criteria
  • Patients under 18 years old

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Number of Participants with Anastomotic LeakFrom completion of surgery till post-operative 90 days

90 Day Post-Operative Complications

Number of Participants with BleedingFrom completion of surgery till post-operative 90 days

90 Day Post-Operative Complications

Number of Participants with PerforationTime Frame: From completion of surgery till post-operative 90 days

90 Day Post-Operative Complications

Number of Participants with CollectionTime Frame: From completion of surgery till post-operative 90 days

Collection includes hematoma, pus, serous fluids. Outcome measured to 90 Day Post-Operative.

Number of Participants with Hospital ReadmissionFrom completion of surgery till post-operative 90 days

Any readmission to hospital from completion of surgery till post-operative 90 days

Number of Participants with ReoperationFrom completion of surgery till post-operative 90 days

Any reoperation due to any complications from completion of surgery till post-operative 90 days

Secondary Outcome Measures
NameTimeMethod
Total Costs of Bariatric Surgery (USD)From completion of surgery till post-operative 90 days

Total costs of all events that occur from surgery till post-operative 90 days will be included. Costs will be extracted from hospital records.

Time to surgical intervention (hr)From completion of surgery till 90 days post-operative

Time to surgical intervention for patients requiring surgical treatment for post-operative complications. Time will be extracted from surgical records

Number of Participants with Total Parental Nutrition RequirementFrom completion of surgery till post-operative 90 days

Use of Total Parental Nutrition during 90 Day Post-Operative

Number of Participants with Blood TransfusionFrom completion of surgery till post-operative 90 days

Any blood transfusion given from completion of surgery till post-operative 90 days

Length of Stay (Days)From completion of surgery till hospital discharge assessed up to post-operative 90 days

Length of hospital stay from index operation to hospital discharge

Number of Participants with Emergency Department AttendanceFrom completion of surgery till post-operative 90 days

Any Emergency Department Attendance from completion of surgery till post-operative 90 days

Trial Locations

Locations (1)

National University Hospital

🇸🇬

Singapore, Singapore

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