Comments on "Factors implicated in discharge disposition following elective bariatric surgery"

I read with interest the manuscript entitled "Factors implicated in discharge disposition following elective bariatric surgery" by Mocanu V, et al. in which most patients left home safely after bariatric surgery (99.6%), but 4 out of 1000 did not.1 They departed to an alternate care facility. As we expected, most of these patients were elderly males, with a higher BMI, and may present associated co-morbidities like hypertension, type-2 diabetes, dyslipidemia, obstructive sleep apnea, etc. But the most important factor has been the partial dependence or full dependence as the biggest red flags, there are the greatest predictors by 8 and 7 fold for an alternate care facility.1 Should we operate on these patients, and spare the burden of complications, costs, financial liability associated with these patients, as we have so many to take care? Are we really improving their functional status after these surgeries? This raises the main question, if we take 100 of those, how many end up functional and better? Should we use a preoperative program to ameliorate their condition pre op before tackling those patients?
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research