The effect of smoking on bariatric surgical 30-day outcomes: propensity-score-matched analysis of the MBSAQIP
| Autor: | Amir Aryaie, Michał R. Janik |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Sleeve gastrectomy medicine.medical_treatment Gastric Bypass 030209 endocrinology & metabolism Laparoscopic Roux-y gastric bypass 03 medical and health sciences 0302 clinical medicine Postoperative Complications Gastrectomy Internal medicine Medicine Humans Quality improvement program (MBSAQIP) 2020 SAGES Oral Propensity Score Retrospective Studies Bariatric surgery Laparoscopic sleeve gastrectomy business.industry Confounding Smoking Bleed Hepatology Obesity Morbid Metabolic and bariatric surgery accreditation Treatment Outcome Propensity score matching Cohort 030211 gastroenterology & hepatology Surgery Laparoscopy business Abdominal surgery |
| Zdroj: | Surgical Endoscopy |
| ISSN: | 1432-2218 |
| Popis: | Background The exact impact of smoking within the last 12 months on the safety outcome of sleeve gastrectomy and Roux-Y gastric bypass is not well known. The study aimed to assess the effects of smoking on 30-day surgical outcomes. Methods Preoperative characteristics and outcomes from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program dataset 2015–2018 were selected for all patients who underwent primary sleeve gastrectomy or Roux-Y gastric bypass. 30-day postoperative outcomes were assessed. We used propensity score matching to control for potential confounding. Results In laparoscopic sleeve gastrectomy group, 29 165 pairs were included in the analysis. Smoking increased risk for inpatients readmission rate (3.67% vs. 3.10%; RR, 1.18; 95%CI 1.08–1.29, p p = 0.020), reoperation rate (0.99% vs. 0.79%; RR, 1.25; 95%CI 1.05–1.48, p = 0.010), and leak rate (0.59% vs. 0.32%; RR, 1.83; 95%CI 1.43–2.37, p p p p p p p = 0.001). Conclusion Smoking cigarettes at any point within the 12 months before admission for surgery increased the risk for surgical short-term complications in bariatric patients. The effect was the most significant regarding leaks. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink