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388542

Proposal of a score to detect the need for postoperative intensive care unit admission after bariatric surgery

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Last updated: 05 Jan 2025

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Abstract

Background
We developed a multi-dimensional score which may help in predicting those patients, undergoing bariatric surgery, who may be in need for postoperative ICU admission and which may also help in avoiding unnecessary admission to the critical care units after bariatric surgery.
Methods
We collected the data of 111patients who underwent either laparoscopic gastric sleeve or bypass and studied the association between some risk factors related to obesity and their postoperative ICU admission. Those factors found to be statistically significant are included in the final score. The cutoff value of our scoring system is determined by running a Receiver Operating Curve (ROC) analysis.
Results
Forty patients (36%) were admitted to the ICU postoperatively. Our final score includes 7 independent variables; 6 found to be significantly related to post-bariatric surgery ICU admission; these are age, gender, BMI, ASA, obstructive sleep apnea and spirometry results, and the seventh is the history of venous thrombo-embolism. According to the ROC curve analysis, we set the score value of 10 as our cut-off value for the need of postoperative ICU admission. The score median value is 9. Males’ odds to be admitted to the ICU after bariatric surgery are 11.9 times higher than females. Also, those with BMI above 50 kg m have odds of 29.8 times higher than those below 50 kg m.
Conclusions
We propose a scoring system for risk stratification, in which some of the well-known predictor risk factors are included in a simple way to help identify those high-risk patients undergoing bariatric surgery.

DOI

10.1016/j.egja.2017.08.003

Authors

First Name

Walid H.

Last Name

Nofal

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Orcid

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First Name

Akram M.

Last Name

Amer

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Walid A.

Last Name

Mansour

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Volume

33

Article Issue

4

Related Issue

51202

Issue Date

2017-10-01

Receive Date

2017-06-16

Publish Date

2017-10-01

Page Start

351

Page End

355

Print ISSN

1110-1849

Online ISSN

1687-1804

Link

https://egja.journals.ekb.eg/article_388542.html

Detail API

https://egja.journals.ekb.eg/service?article_code=388542

Order

388,542

Publication Type

Journal

Publication Title

Egyptian Journal of Anaesthesia

Publication Link

https://egja.journals.ekb.eg/

MainTitle

Proposal of a score to detect the need for postoperative intensive care unit admission after bariatric surgery

Details

Type

Article

Created At

21 Dec 2024