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Hospital admission ...
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Bruze, GustafKarolinska Institutet
(författare)
Hospital admission after gastric bypass : a nationwide cohort study with up to 6 years follow-up.
- Artikel/kapitelEngelska2017
Förlag, utgivningsår, omfång ...
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Elsevier,2017
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:oru-60937
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-60937URI
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https://doi.org/10.1016/j.soard.2017.01.004DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:136284997URI
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Språk:engelska
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Sammanfattning på:engelska
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Klassifikation
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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Funding agencies:National Institutes of Health R01 DK105948
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BACKGROUND: Several studies have addressed short-term admission rates after bariatric surgery. However, studies on long-term admission rates are few and population based studies are even scarcer.OBJECTIVE: The aim of this study was to assess short- and long-term admission rates for gastrointestinal surgery after gastric bypass in Sweden compared with admission rates in the general population.SETTING: Swedish healthcare system.METHODS: The surgery cohort consisted of adults with body mass index≥35 identified in the Scandinavian Obesity Surgery Registry (n = 28,331; mean age 41 years; 76% women; Roux-en-Y gastric bypass performed 2007-2012). For each individual, up to 10 comparators from the general population were matched on birth year, sex, and place of residence (n = 274,513). The primary outcome was inpatient admissions due to gastrointestinal surgery retrieved from the National Patient Register through December 31, 2014. Conditional hazard ratios (HR) were estimated using Cox regression.RESULTS: All-cause admission rates were 6.5%, 21.4%, and 65.9% during 30 days, 1 year, and 6 years after surgery, respectively. The corresponding rates for gastrointestinal surgery were 1.8%, 6.8%, and 24.4%. Compared with that of the general population, there was an increased risk of all-cause hospital admission at 1 year (HR 2.6 [2.5-2.6]) and 6 years (HR 2.7 [2.6-2.7]). The risk of hospital admission for any gastrointestinal surgical procedure was greatly increased throughout the study period (HR 8.6 [8.4-8.9]). Female sex, psychiatric disease, and low education were risk factors.CONCLUSION: We found a significant risk of admission to hospital over>6 years after gastric bypass surgery.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Ottosson, Johan,1957-Department of Surgery, Örebro University Hospital, Örebro, Sweden(Swepub:oru)jhon
(författare)
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Neovius, MartinKarolinska Institutet
(författare)
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Näslund, IngmarDepartment of Surgery, Faculty of Health and Medical Sciences, Örebro University, Örebro, Sweden
(författare)
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Marsk, RichardKarolinska Institutet
(författare)
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Karolinska InstitutetDepartment of Surgery, Örebro University Hospital, Örebro, Sweden
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Surgery for Obesity and Related Diseases: Elsevier13:6, s. 962-9691550-72891878-7533
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