IBC-Ox32 Streamlining preoperative risk assessment: counterintuitive results in the Bariatric patient
نویسندگان
چکیده
Abstract Background Bariatric surgical operations continue to be performed in high numbers nationally, thus it is important identify factors associated with post-surgical complications. This study aims preoperative risk bariatric surgery mortality. Methods A retrospective analysis was conducted on the Metabolic and Surgery Accreditation Quality Improvement Program database determine strength of association between pre-operative exposures 30-day mortality following surgery. total 701,265 primary were registered years 2015 2017, consisting sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), adjustable band (AGB), duodenal switch (DS) Results From surgeries database, 636,286 had complete data points for variables interest therefore included this analysis. The mean age cohort 45.01 (SD= 11.96) years, BMI 45.54 kg/m2 (SD=7.72), 80.07% female. Overall 0.10% (n=629). within 30 days not statistically significant: hyperlipidemia, history pulmonary embolism, oxygen dependence, obstructive sleep apnea venous stasis. Smoking status (AOR=1.38), insulin dependent diabetes (AOR=1.37) use more than 3 hypertensive medications (AOR=1.30) weakly postoperative (p<0.05; CI=95%). History chronic disease (COPD; AOR=2.00), partial functional dependency (AOR=2.09), renal insufficiency (AOR=1.63), dialysis (AOR=3.15), deep thrombosis (AOR=1.78), myocardial infarction (AOR=1.65) cardiac (AOR=1.87) strongly (P<0.05; c.i. = 95%) Conclusion continues safe. Many that have traditionally been thought contribute mortality, such as diabetes, hypertension, smoking, dependence may little impact. Other previous heart surgery, COPD play a bigger role adverse outcomes. While these associations do causality, understanding them can guide physicians assessment care.
منابع مشابه
Streamlining the preoperative process for the open heart surgery patient.
A comprehensive preadmission process for open heart surgery patients sets the stage for preventing post-operative complications and improves patient outcomes. Due to the complexity and expense of open heart surgery, it is essential for every organization to ensure that patients are adequately assessed, well educated and prepared both clinically and psychologically for the event. Establishing a ...
متن کاملTelestroke assessment on the move: prehospital streamlining of patient pathways.
T hrombolysis as a treatment for ischemic stroke is only indicated within the first 3 to 4.5 hours after onset of symptoms, and is more efficacious the earlier it is given. Patients must thus seek help, receive a clinical diagnosis, and reach a center of care for imaging and treatment without delay. This is a problem in remote and rural areas, leading to a relative disadvantage for rural dwelle...
متن کاملPreoperative cardiac risk assessment.
Preoperative cardiac evaluation is aimed at evaluating the patient's current medical status, making recommendations concerning the risk of cardiac problems in the perioperative period, and providing a clinical risk profile that the patient, primary physician, consultants, anesthesiologist, and surgeon can use in making treatment decisions. Patients can be stratified on clinical grounds into low...
متن کاملStreamlining preoperative care: role of software.
A 65-year-old man with heart disease schedules a knee arthroscopy with his orthopedic surgeon. Thirty miles away, a note pops up to notify the hospital's presurgical clinic of the impending surgery. A nurse practitioner pulls up the patient's electronic health record (EHR), where she reviews the patient's history. Comparing the history with the preop screening criteria, she can see the patient ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: British Journal of Surgery
سال: 2022
ISSN: ['1365-2168', '0007-1323']
DOI: https://doi.org/10.1093/bjs/znac402.004