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ORIGINAL RESEARCH article

Front. Public Health
Sec. Health Economics
Volume 12 - 2024 | doi: 10.3389/fpubh.2024.1439948

Systema(c preopera(ve approach for bariatric surgery, periopera(ve results, and economic impact

Provisionally accepted
Iolanda Freire-Moreira Iolanda Freire-Moreira 1Pilar Sánchez- Conde Pilar Sánchez- Conde 1*Gilles Barreira-De Sousa Gilles Barreira-De Sousa 2Maria I. Garrido-Gallego Maria I. Garrido-Gallego 1José María Rodríguez-López José María Rodríguez-López 1Raúl Juárez-Vela Raúl Juárez-Vela 3Juan A. Bragado Juan A. Bragado 4Marta Carretero-Hernández Marta Carretero-Hernández 5Carlos R. Vargas-Chiarella Carlos R. Vargas-Chiarella 1Jesús Calderón-Moreno Jesús Calderón-Moreno 6María F. Lorenzo-Gómez María F. Lorenzo-Gómez 7,8Luis M. Vaquero-Roncero Luis M. Vaquero-Roncero 1
  • 1 Department of Anesthesia and Intensive Care, University of Salamanca Health Care Complex, Salamanca, Spain
  • 2 Department of Cardiology, University of Salamanca Health Care Complex, Salamanca, Spain
  • 3 Grupac Research Group. Deparment of Nursing. University of La Rioja., Logroño, Spain
  • 4 Faculty of Medicine, University of Salamanca, Salamanca, Spain
  • 5 Neuroendocrinology and Obesity Lab (INCYL) (IBSAL). Department of Human Anatomy and Histology. Faculty of Medicine, University of Salamanca, Salamanca, Spain
  • 6 Department of Business Economics, Applied Economics, and Fundamentals of Economic Analysis., Rey Juan Carlos University, Móstoles, Madrid, Spain
  • 7 Department of Urology, University of Salamanca Health Care Complex, Salamanca, Spain
  • 8 Department of Surgery, University of Salamanca, Salamanca, Spain

The final, formatted version of the article will be published soon.

    Obesity is a complex systemadc condidon, involving numerous anatomical and metabolic changes. Therefore, a comprehensive preoperadve assessment is essendal for each padent contempladng bariatric surgery. This study presents the findings of a proposed protocol designed to streamline the pre-anesthesia consultadon process. Our aim was to compare the efficiency and costs of consults guided by the protocol with those conducted without a specific strategy. Secondary outcomes assessed included postoperadve length of hospital stay and surgical duradon. We conducted a retrospecdve cross-secdonal analysis involving 206 clinical cases. Stadsdcal analyses, including chi-square, Student's t-test, and Mann-Whitney U test, were udlized based on the type of variables. Results showed a significant reducdon in costs, pre-anesthesia consultadon duradon, dme spent in the recovery unit, and the need for referrals. However, no stadsdcally significant differences were observed in the delay before surgery and length of hospital stay in days. In conclusion, this algorithm offers a promising approach to opdmizing perioperadve management for bariatric surgery, demonstradng effecdveness in cumng costs and reducing the need for referrals.

    Keywords: Cost Control, Economics, Anesthesia, Surgery, Effecdveness Variables Group A (N=71) Group B (N=125) Pvalue Gross cost 555.189, 003 Mean per-patient cost 7819, 56 ± 1178, 000

    Received: 28 May 2024; Accepted: 09 Sep 2024.

    Copyright: © 2024 Freire-Moreira, Sánchez- Conde, Barreira-De Sousa, Garrido-Gallego, María Rodríguez-López, Juárez-Vela, Bragado, Carretero-Hernández, Vargas-Chiarella, Calderón-Moreno, Lorenzo-Gómez and Vaquero-Roncero. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Pilar Sánchez- Conde, Department of Anesthesia and Intensive Care, University of Salamanca Health Care Complex, Salamanca, Spain

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