2013
DOI: 10.1007/s00464-012-2678-5
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Perioperative risk factors for 30-day mortality after bariatric surgery: is functional status important?

Abstract: This model provides a straightforward, precise, and easily applicable tool for identifying bariatric patients at low, intermediate, and high risk for in-hospital mortality. Notably, baseline functional status before surgery is the single most powerful predictor of perioperative survival and should be incorporated into risk stratification models.

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Cited by 87 publications
(38 citation statements)
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“…The median expected mortality by P-POSSUM in our sample is 1.0 ± 0.34%. Literature describes a lower incidence of deaths, around 0.15% [2,18]. So P-POSSUM ability to predict mortality has to be further investigated, preferentially by a multicentric study.…”
Section: Discussionmentioning
confidence: 99%
“…The median expected mortality by P-POSSUM in our sample is 1.0 ± 0.34%. Literature describes a lower incidence of deaths, around 0.15% [2,18]. So P-POSSUM ability to predict mortality has to be further investigated, preferentially by a multicentric study.…”
Section: Discussionmentioning
confidence: 99%
“…Modifiable risk factors associated with poor outcome include open surgery and the type of bariatric surgery performed; the non-modifiable risk factors include male gender, older age, super obesity (BMI ≥50 kg/m 2 ) with a history of congestive heart failure, prior coronary intervention, peripheral vascular disease, deep venous thrombosis (DVT), pulmonary embolism (PE), obstructive sleep apnea (OSA), chronic use of corticosteroids, impaired functional status, and chronic renal failure (15)(16)(17). Therefore, further studies utilizing new clinical risk-stratification systems for optimizing patient selection criteria and consequently, patient outcomes, are required.…”
Section: Ignored Issues For Bariatric Surgery In the Present Studiesmentioning
confidence: 99%
“…Perioperative myocardial infarction is high on the list in a patient with a known history of coronary artery disease especially if it has required stenting or coronary artery bypass grafting in the past [2]. Typically such a patient is on antiplatelet medication such as aspirin and clopidrogel (Plavix) which has been discontinued a week before surgery and not restarted because of the risk of creating bleeding.…”
Section: Cardiorespiratory Complicationsmentioning
confidence: 99%