Overview
This study will compare same day discharge and at least one night stay in the hospital after bariatric surgery. Patients undergoing bariatric surgery will be randomized (i.e. have an equal chance of either plan) to either group. The study's primary outcome is the frequency patients in the study require a visit to the emergency room within 7 days of their surgery.
Description
This pragmatic, parallel, randomized, open-label trial aims to determine the safety and feasibility of same day discharge (SDD) for bariatric surgery including sleeve gastrectomy and gastric bypass. Investigators will investigate the frequency of 7-day emergency department visits with SDD after bariatric surgery (Aim 1). In addition, the investigators will compare total 30-day charges between participants who undergo same day discharge versus those receive post-operative hospital admission (Aim 2).
Eligibility
Inclusion Criteria:
- BMI ≤ 60 kg/m2
- Primary Sleeve gastrectomy or Gastric Bypass,
- Undergoing bariatric surgery at sponsor site
Exclusion Criteria:
- Type 1 Diabetes
- Myocardial Infarction
- Unstable Angina or Heart Failure
- Prior Stroke
- Solid organ transplantation
- Systemic glucocorticoid prior 28 days
- Severe Obstructive Sleep Apnea
- Uncontrolled Hypertension (Systolic \> 150, Diastolic \> 90)
- Untreated Hyperthyroidism
- Chronic Kidney Disease (EGFR \< 60)
- Current anticoagulant use,
- Poorly controlled Type 2 diabetes (Hemoglobin A1c in last 3 months \> 8.5%)
- Chronic opioid use
- Insulin dependence.
- Need for extended venous thromboembolic event prophylaxis,
- \> 1 lifetime bariatric surgery (revisional or conversion bariatric surgery)
- Patient lives \> 130 miles from the hospital.
- Tobacco use in last 12 months
- Desire to become pregnant or active pregnancy
- Prisoners
- Unable or unwilling to follow-up
- Unable to understand or provide consent
