Obese patients are very at risk of complications after surgery

According to a recent study by University of Michigan health system experts, obese patients are at high risk of post-operative complications including heart attack, wound infection, and nerve injury. , goitre infection.

The study, published in the March issue of the Journal of Anatomy, shows that obese obese patients have twice the mortality rate as well as twice the rate of cardiac arrest. Research director of medical doctorate Olumuyiwa A. Bamgbade, an informal lecturer in the anesthesiology department of Michigan Medical University, said his research provides evidence that the danger of obesity when it comes to surgery art.

Co-researcher Dr. Olubukola O. The anesthesiologist added that this is an epidemic that its signs that obese patients are very likely to experience serious problems after surgery.

The main study is a review of postoperative complications in adults in the Michigan Department of Anesthesiology database from 2001 to 2005, the study conducted a review and analysis. complications in 6,773 patients, of which about 2,217 are 1/3 obese, and in this obese group there are about 993 people with severe obesity.

(Artwork: msn) Bamgbade and other researchers found that the incidence of complications in obese patients was very high, including heart attacks in obese patients five times higher than others. (0.5% compared with 0.1% in normal patients), wound infection is 1.7 times higher (6% compared to 3.5%), peripheral neuropathy is 4 times higher (0.4% compared to 0.1%) ; and urinary tract infections at a rate of 1.5 times (3.9% versus 2.6%).

While the mortality rate is not very different between obese and non-obese patients, this rate is much higher than that of obese patients with 2.2% compared with 1.2% in other patients. Because of the increased risk, researchers recommend that obese obese patients with outpatient surgery should stay in the hospital for at least 23 hours to follow up after surgery.

The study also notes complications after surgery that cause health and hospital costs. According to the study, the annual average of complications after surgery is 4%, or 1.25 million surgical patients with an average cost of up to 25 billion dollars.

Dr. Bamgbade also pointed out the bad situation, which is a high incidence of complications and partly due to the increased number of surgeons, the elderly and obese patients. In another study, he also predicted the above causes could increase 25% of surgeries, and 50% of surgery costs and 100% of complications after surgery.

In this study, the complication rate is about 7.7% compared to 4% of the national average, which partly reflects the complexity of the surgery and the patients of UM (University of Michigan) - the health care institution. healthy in the 3rd place in the country. Experts also note that the study conducted in Michigan, 1 out of 10 states has obesity rates of more than 1/7 of the population.

Working with Dr. Bamgbade and Nafiu, there was Dr. W. Rutter, Dr. Pema Dorje, who was in the University of Michigan anesthesia department.

Anh Phuong