Abstract

Obesity is a major global health challenge affecting 603.7 million adults and is a risk factor for common illnesses such as diabetes mellitus II, chronic kidney disease, cardiovascular disease, gastroesophageal reflux disease, and poorly controlled hypertension. Americans have the highest rate of obesity. Patients with a body mass index (BMI) > 35 with one or more obesity related complications should be considered for bariatric surgery. Forty percent of patients seeking obesity treatment have at least one psychiatric illness with mood and anxiety disorders being the most common. Preoperative screening is recommended to identify patients with psychosocial risk factors that may lead to complications following bariatric surgery. The purpose of this project is to determine the impact of psychological issues on length of stay (LOS), 30-day readmission, and change in BMI in patients undergoing bariatric surgery. A 9-month retrospective chart review of 166 patients (151 female, 15 male) in a small bariatric surgery center found 94 patients with preoperative psychological issues and 72 without preoperative psychological issues. There were no significant differences between LOS (p= 0.345) and change in BMI (p=0.052) in the two groups. Thirty-day readmission was not compared due to small sample size. Despite non-statistically significant results, literature review supports the need to adequately assess and monitor outcomes in patients with psychological issues. Future considerations to follow bariatric surgery patients with and without psychological issues over a longer period of time may provide more favorable postoperative outcomes.

Author Details

Melanie A. Caustrita, DNP, ACNP-BC

Sigma Membership

Non-member

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Cohort

Research Approach

Other

Keywords:

Bariatric Surgery, Body Mass Index, Hospital Readmission Rates, Length of Hospital Stay

Advisor

Eileen Walsh

Degree

DNP

Degree Grantor

The University of Toledo

Degree Year

2022

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2022-05-25

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