BACKGROUND: Obesity is common in the Western world, and obese persons constitute a growing population of surgical patients for both bariatric and non-bariatric operations. It is the traditional perception that obese patients have a higher risk of perioperative morbidity and mortality, although different studies show contradictory results. PURPOSE: To better delineate the perioperative morbidity and mortality in obese patients. METHODS: Review of the pertinent English-language literature RESULTS: Obesity is a risk factor for nosocomial infection, particularly surgical site infection (SSI). The mechanisms by which obese patients may be at higher risk for SSI are reviewed, and specific recommendations are outlined that should be implemented when treating obese patients to minimize potentially preventable SSIs. CONCLUSION: The growing prevalence of obesity and the increasing number of operations performed on obese patients, whether to achieve weight loss or for other purposes, will have a substantial impact on health care resources. Vigilant identification of high-risk patients and provision of all proved preventive measures must suffice until new methods of prevention are identified and validated.
BACKGROUND:Obesity is common in the Western world, and obesepersons constitute a growing population of surgical patients for both bariatric and non-bariatric operations. It is the traditional perception that obesepatients have a higher risk of perioperative morbidity and mortality, although different studies show contradictory results. PURPOSE: To better delineate the perioperative morbidity and mortality in obesepatients. METHODS: Review of the pertinent English-language literature RESULTS:Obesity is a risk factor for nosocomial infection, particularly surgical site infection (SSI). The mechanisms by which obesepatients may be at higher risk for SSI are reviewed, and specific recommendations are outlined that should be implemented when treating obesepatients to minimize potentially preventable SSIs. CONCLUSION: The growing prevalence of obesity and the increasing number of operations performed on obesepatients, whether to achieve weight loss or for other purposes, will have a substantial impact on health care resources. Vigilant identification of high-risk patients and provision of all proved preventive measures must suffice until new methods of prevention are identified and validated.
Authors: Amit K Mathur; Amir A Ghaferi; Nicholas H Osborne; Timothy M Pawlik; Darrell A Campbell; Michael J Englesbe; Theodore H Welling Journal: J Gastrointest Surg Date: 2010-06-08 Impact factor: 3.452
Authors: Ana P Johnson; Joel L Parlow; Brian Milne; Marlo Whitehead; Jianfeng Xu; Susan Rohland; Joelle B Thorpe Journal: Eur J Health Econ Date: 2016-05-11
Authors: Teena Chopra; Jing J Zhao; George Alangaden; Michael H Wood; Keith S Kaye Journal: Expert Rev Pharmacoecon Outcomes Res Date: 2010-06 Impact factor: 2.217
Authors: Zubin M Bamboat; Christine Kinnier; Abdulmetin Dursun; Cristina R Ferrone; Paul C Shellito; David L Berger; Liliana Bordeianou Journal: J Gastrointest Surg Date: 2012-07-31 Impact factor: 3.452