A313 - Where are sleeves performed? An analysis of inpatient versus outpatient databases in a large state

Abstract

Background: The sleeve gastrectomy (SG) is the most common bariatric surgery in the United States today. There is a trend towards doing SG as an outpatient procedure. This can mean either in an ambulatory setting, or as an outpatient at a larger hospital. The designation "outpatient" is essentially any patient without an inpatient order. There remain safety concerns regarding this operation in an outpatient setting. Texas maintains the Texas Public Use Data File (PUDF) databases, both for inpatient and outpatient settings. This is a claims based database with data on over 700,000 patients per year. We used the Texas Inpatient and Outpatient PUDF for 2016 to evaluate where SGs are performed and what were the patient characteristics.