Key result
BMI >50 is linked to increased perioperative complications in ambulatory surgery compared to lower BMIs.
Why the study?
The evidence on perioperative outcomes in obese patients undergoing ambulatory surgery has not been systematically reviewed and evaluated.
Does ambulatory surgery in obese patients increase the risk of perioperative complications?
Population
106,119 adult obese patients undergoing ambulatory surgery
Comparison
Bariatric surgery vs nonbariatric surgery in obese patients
Design
Systematic review of 23 studies and 1 systematic review
Follow-up
Perioperative period
Authors
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Super-obese patients (BMI >50) may warrant caution for ambulatory surgery; leaves open optimal selection thresholds pending prospective data.
Systematic Review (n=106,119)
Does ambulatory surgery in obese patients increase the risk of perioperative complications?
Super obese patients (BMI >50 kg/m2) are at increased risk for perioperative complications during ambulatory surgery, whereas those with lower BMIs are not if comorbidities are optimized.
Joshi et al. (2013) conducted a systematic review in Obesity in patients undergoing ambulatory surgery (n=106,119). Super obesity (BMI >50 kg/m2) vs. Lower BMI was evaluated on Perioperative complications including unplanned hospital admission and readmission. Super obese patients (BMI >50 kg/m2) undergoing ambulatory surgery present an increased risk for perioperative complications, whereas those with lower BMIs do not if comorbidities are optimized.
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