[Obesity associated risk using Edmonton staging in bariatric surgery].
| Autor: | de Cos AI; Unidad de Obesidad, Servicio de Endocrinología y Nutrición.. anaide.cos@salud.madrid.org., Cardenas JJ; Unidad de Obesidad, Servicio de Endocrinología y Nutrición.. anaide.cos@salud.madrid.org., Pelegrina B; Unidad de Obesidad, Servicio de Endocrinología y Nutrición.. anaide.cos@salud.madrid.org., Roldan MC; Unidad de Obesidad, Servicio de Endocrinología y Nutrición.. anaide.cos@salud.madrid.org., Calvo I; Unidad de Obesidad, Servicio de Endocrinología y Nutrición.. anaide.cos@salud.madrid.org., Vázquez C; Hospital Universitario La Paz. Fundación Jimenez Díaz, Madrid. España.. anaide.cos@salud.madrid.org., Pallardo LF; Unidad de Obesidad, Servicio de Endocrinología y Nutrición.. anaide.cos@salud.madrid.org. |
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| Jazyk: | Spanish; Castilian |
| Zdroj: | Nutricion hospitalaria [Nutr Hosp] 2014 Sep 20; Vol. 31 (1), pp. 196-202. Date of Electronic Publication: 2014 Sep 20. |
| DOI: | 10.3305/nh.2015.31.1.8097 |
| Abstrakt: | Unlabelled: With a prevalence of Morbid Obesity of 1,2% of the Spanish population, the current criteria for Bariatric Surgery do not classify patients taking into consideration co-morbidities or functional status. We need new staging systems useful in predicting mortality and able to support prioritizing treatments. Aim: Applying Edmonton staging system to patients awaiting Bariatric Surgery. Method: Data collected from 81 patients from 2011- 2013 after pre-surgery protocol. Weight, height, waist, BMI, biochemical parameters and blood pressure are registered. Also taken down are hepatic, renal, osteoarticular diseases, sleep-apnea syndrome and/or gastro-oesophageal reflux, if present. Edmonton staging of ten variables is applied to each patient. Results: 81 patients: 67% women, average age 47y, 18% below 30y. Average BMI of 47, 90% of patients have a BMI >40. 34% of patients show sleep-apnea syndrome and 25% gastro-oesophageal reflux. 9% of the patients have a BMI >45, diabetes mellitus and sleep-apnea syndrome. Applying the Edmonton Staging, nine patients (11%) are in the highest risk range (stage 3), 70% are in the high-risk range (stage 2) and 15 patients (18%) are included in the low-risk range. No patient was found to be in stage 0 without obesity risk factors. Conclusions: The Edmonton staging system provides us with information on presence or extent of co-morbidities that guide decision making in individuals. The mortality- predictive ability of Edmonton proposal could help to assist in determining the urgency of Bariatric Surgery and establish better criteria to prioritize these group of patients. (Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.) |
| Databáze: | MEDLINE |
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