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Multicentre prospective cohort study of body mass index and postoperative complications following gastrointestinal surgery

80Citations signalées — pas une note de qualité
201Institutions déclarées
8Pays d’affiliation déclarés

Résumé fourni par la source

BACKGROUND: There is currently conflicting evidence surrounding the effects of obesity on postoperative outcomes. Previous studies have found obesity to be associated with adverse events, but others have found no association. The aim of this study was to determine whether increasing body mass index (BMI) is an independent risk factor for development of major postoperative complications. METHODS: This was a multicentre prospective cohort study across the UK and Republic of Ireland. Consecutive patients undergoing elective or emergency gastrointestinal surgery over a 4-month interval (October-December 2014) were eligible for inclusion. The primary outcome was the 30-day major complication rate (Clavien-Dindo grade III-V). BMI was grouped according to the World Health Organization classification. Multilevel logistic regression models were used to adjust for patient, operative and hospital-level effects, creating odds ratios (ORs) and 95 per cent confidence intervals (c.i.). RESULTS: Of 7965 patients, 2545 (32·0 per cent) were of normal weight, 2673 (33·6 per cent) were overweight and 2747 (34·5 per cent) were obese. Overall, 4925 (61·8 per cent) underwent elective and 3038 (38·1 per cent) emergency operations. The 30-day major complication rate was 11·4 per cent (908 of 7965). In adjusted models, a significant interaction was found between BMI and diagnosis, with an association seen between BMI and major complications for patients with malignancy (overweight: OR 1·59, 95 per cent c.i. 1·12 to 2·29, P = 0·008; obese: OR 1·91, 1·31 to 2·83, P = 0·002; compared with normal weight) but not benign disease (overweight: OR 0·89, 0·71 to 1·12, P = 0·329; obese: OR 0·84, 0·66 to 1·06, P = 0·147). CONCLUSION: Overweight and obese patients undergoing surgery for gastrointestinal malignancy are at increased risk of major postoperative complications compared with those of normal weight.

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Contrôle bibliographique ouvert

DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.

Titre Crossref
Multicentre prospective cohort study of body mass index and postoperative complications following gastrointestinal surgery
Date Crossref
20/06/2016
Éditeur
Oxford University Press (OUP)
Type
journal-article

Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.

Institutions déclarées

Northern General HospitalSouthern General HospitalUniversity of BristolUniversity of LiverpoolRoyal College of Surgeons in IrelandMayo General HospitalSandwell General HospitalHull York Medical SchoolLeicester CollegeUniversity of East AngliaLeicester Royal InfirmaryUniversity of NottinghamNorfolk and Norwich University HospitalUniversity of SheffieldQueen's University BelfastUniversity of UlsterRoyal Victoria HospitalUniversity of LimerickBelfast City HospitalOllscoil na Gaillimhe – University of GalwayUniversity Hospital LimerickSt Luke's HospitalSt Lukes HospitalTrinity College DublinUniversity College CorkUniversity College DublinImperial College LondonKing's College LondonQueen Mary University of LondonRoyal London HospitalSt George's, University of LondonRussells Hall HospitalEast Surrey HospitalUniversity College LondonUniversity of LeedsThe Royal Free HospitalFurness General HospitalUniversity of ManchesterNewcastle UniversityUniversity of AberdeenUniversity of DundeeRaigmore HospitalUniversity of EdinburghUniversity of GlasgowWishaw General HospitalBrighton and Sussex Medical SchoolPhillips Exeter AcademyRoyal Sussex County HospitalUniversity Hospitals Sussex NHS Foundation TrustPeninsula College of Medicine and DentistryRoyal Devon and Exeter HospitalSouthampton HospitalUniversity of CambridgeCardiff UniversityUniversity of OxfordWycombe General HospitalStoke Mandeville HospitalSwansea UniversityMorriston HospitalGlangwili General HospitalUniversity of BirminghamKeele UniversityRoyal Stoke University HospitalCoventry (United Kingdom)University of Warwick Science ParkAberdeen Royal InfirmaryAddenbrooke's HospitalAiredale General HospitalAlexandra HospitalAntrim Area HospitalArrowe Park HospitalBarnet HospitalChelsea and Westminster HospitalBasingstoke and North Hampshire HospitalBedford HospitalBlackpool Victoria HospitalSunderland Royal HospitalRoyal Bolton HospitalBorders General HospitalWestern General HospitalBradford Royal InfirmaryBristol Royal InfirmaryCharing Cross HospitalUniversity Hospital Southampton NHS Foundation TrustCheltenham General HospitalCountess of Chester HospitalColchester HospitalConquest HospitalPrince Charles HospitalCounty HospitalCraigavon Area HospitalDaisy Hill HospitalDerriford HospitalDewsbury and District HospitalDiana Princess of Wales HospitalPrincess of Wales HospitalDoncaster Royal InfirmaryDumfries and Galloway Royal InfirmaryEaling HospitalEpsom HospitalSt Helier HospitalForth Valley Royal HospitalGartnavel General HospitalGeorge Eliot HospitalGlasgow Royal InfirmaryNorth Tyneside General HospitalGloucestershire Royal HospitalWalsall Manor HospitalGood Hope HospitalGreat Western HospitalHammersmith HospitalHeartlands HospitalCounty HospitalHillingdon HospitalHinchingbrooke HospitalHomerton University HospitalHuddersfield Royal InfirmaryHull Royal InfirmaryCastle Hill HospitalInverclyde Royal HospitalIpswich HospitalConnolly Hospital BlanchardstownJames Paget University HospitalKent and Canterbury HospitalKing George HospitalKing's College HospitalNewham University HospitalKings Mill HospitalKingston HospitalLincoln County HospitalLister HospitalManchester Royal InfirmaryMonklands HospitalMusgrove Park HospitalNew Cross HospitalNinewells HospitalNoble’s HospitalPrincess Royal HospitalNorth Manchester General HospitalSouthmead HospitalSouthend HospitalNorth Middlesex University Hospital NHS TrustNorthwick Park HospitalNottingham City HospitalChurchill HospitalPerth Royal InfirmaryPeterborough City HospitalQueen Alexandra HospitalPortsmouth Hospitals NHS TrustPrincess Royal University HospitalQueen Elizabeth Hospital BirminghamQueen Elizabeth Hospital King's Lynn NHS Foundation TrustQueen Elizabeth HospitalQueen's HospitalQueen's Medical CentreRotherham General HospitalRoyal Berkshire HospitalRoyal Glamorgan HospitalRoyal Gwent HospitalEdinburgh Royal InfirmaryRoyal Lancaster InfirmaryLiverpool HospitalRoyal Liverpool University HospitalRoyal Preston HospitalRoyal Shrewsbury HospitalRoyal United HospitalRoyal Victoria InfirmarySalford Royal HospitalScarborough General HospitalScunthorpe General HospitalSouthport CollegeSouth Tipperary General HospitalStepping Hill HospitalSt George's HospitalSt. James's HospitalSt James's University HospitalSt Mary's HospitalSt Peter's HospitalSt Thomas' HospitalTameside HospitalTallaght University HospitalWhittington HospitalMidland Regional Hospital at TullamoreUlster HospitalUniversity College HospitalUniversity Hospital AyrUniversity Hospital CoventryUniversity Hospital CrosshouseUniversity Hospital LewishamUniversity Hospital of WalesGlasgow Victoria InfirmaryWarrington HospitalWarwick HospitalWestern InfirmaryWest Middlesex University HospitalMiddlesex HospitalWhipps Cross University HospitalWhiston HospitalWrexham Maelor HospitalYork HospitalYsbyty Gwynedd Hospital NHS Trust

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