The Impact of CKD on Perioperative Risk and Mortality after Bariatric Surgery
| Autor: | William P. Martin, Christine Ren-Fielding, Flavia Carvalho Silveira, Carel W. le Roux, Gabrielle Maranga |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Reoperation
medicine.medical_specialty Population 030232 urology & nephrology Renal function Bariatric Surgery Original Investigations 030209 endocrinology & metabolism Body Mass Index 03 medical and health sciences 0302 clinical medicine Chronic kidney disease Medicine Humans Postoperative Period Obesity Stage (cooking) Renal Insufficiency Chronic education Bariatric surgery education.field_of_study business.industry General Medicine Perioperative medicine.disease Weight United States Surgery Female Loss Risk factor business Hospital stay Surgical site infection Body mass index Complication Kidney disease |
| Zdroj: | Kidney360 |
| Popis: | Background Twenty percent of patients with CKD in the United States have a body mass index (BMI) ≥35 kg/m2. Bariatric surgery reduces progression of CKD to ESKD, but the risk of perioperative complications remains a concern. Methods The 24-month data spanning 2017–2018 were obtained from the Metabolic and Bariatric Surgery Quality Improvement Program (MBSAQIP) database and analyzed. Surgical complications were assessed on the basis of the length of hospital stay, mortality, reoperation, readmission, surgical site infection (SSI), and worsening of kidney function during the first 30 days after surgery. Results The 277,948 patients who had primary bariatric procedures were 44±11.9 (mean ± SD) years old, 79.6% were women, and 71.2% were White. Mean BMI was 45.7±7.6 kg/m2. Compared with patients with an eGFR≥90 ml/min per BSA, those with stage 5 CKD/ESKD were 1.91 times more likely to be readmitted within 30 days of a bariatric procedure (95% CI, 1.37 to 2.67; P |
| Databáze: | OpenAIRE |
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