Risk Prediction Model for Severe Postoperative Complication in Bariatric Surgery

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Search: id:"swepub:oai:DiVA.org:oru-64283" > Risk Prediction Mod...

1 of 1
Previous record
Next record
To hitlist

Risk Prediction Model for Severe Postoperative Complication in Bariatric Surgery

Stenberg, Erik, 1979- (author): Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Surgery, Örebro University Hospital, Örebro, Sweden

Cao, Yang, 1972- (author): Karolinska Institutet,Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Unit of Biostatistics, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden,Clinical Epidemiology and Biostatistics

Szabo, Eva, 1973- (author): Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Surgery, Örebro University Hospital, Örebro, Sweden

Näslund, Erik (author): Karolinska Institutet

Näslund, Ingmar (author): Department of Surgery, Örebro University Hospital, Örebro, Sweden

Ottosson, Johan, 1957- (author): Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Surgery, Örebro University Hospital, Örebro, Sweden

show less...

(creator_code:org_t)

2018-01-12
2018
English.
In: Obesity Surgery. - : Springer. - 0960-8923 .- 1708-0428. ; 28:7, s. 1869-1875

Related links:: https://doi.org/10.1...; show more...; https://link.springe...; https://urn.kb.se/re...; https://doi.org/10.1...; http://kipublication...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

BACKGROUND: Factors associated with risk for adverse outcome are important considerations in the preoperative assessment of patients for bariatric surgery. As yet, prediction models based on preoperative risk factors have not been able to predict adverse outcome sufficiently.OBJECTIVE: This study aimed to identify preoperative risk factors and to construct a risk prediction model based on these.METHODS: Patients who underwent a bariatric surgical procedure in Sweden between 2010 and 2014 were identified from the Scandinavian Obesity Surgery Registry (SOReg). Associations between preoperative potential risk factors and severe postoperative complications were analysed using a logistic regression model. A multivariate model for risk prediction was created and validated in the SOReg for patients who underwent bariatric surgery in Sweden, 2015.RESULTS: Revision surgery (standardized OR 1.19, 95% confidence interval (CI) 1.14-0.24, p < 0.001), age (standardized OR 1.10, 95%CI 1.03-1.17, p = 0.007), low body mass index (standardized OR 0.89, 95%CI 0.82-0.98, p = 0.012), operation year (standardized OR 0.91, 95%CI 0.85-0.97, p = 0.003), waist circumference (standardized OR 1.09, 95%CI 1.00-1.19, p = 0.059), and dyspepsia/GERD (standardized OR 1.08, 95%CI 1.02-1.15, p = 0.007) were all associated with risk for severe postoperative complication and were included in the risk prediction model. Despite high specificity, the sensitivity of the model was low.CONCLUSION: Revision surgery, high age, low BMI, large waist circumference, and dyspepsia/GERD were associated with an increased risk for severe postoperative complication. The prediction model based on these factors, however, had a sensitivity that was too low to predict risk in the individual patient case.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)

Keyword

Morbid obesity
Prediction model
Postoperative complication
Bariatric surgery
Risk factor

Publication and Content Type

ref (subject category)
art (subject category)

Find in a library

Obesity Surgery (Search for host publication in LIBRIS)

To the university's database

1 of 1
Previous record
Next record
To hitlist

Find more in SwePub

By the author/editor: Stenberg, Erik, ...; Cao, Yang, 1972-; Szabo, Eva, 1973 ...; Näslund, Erik; Näslund, Ingmar; Ottosson, Johan, ...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Surgery

Articles in the publication: Obesity Surgery

By the university: Örebro University; Karolinska Institutet

Search outside SwePub

Extend your search to:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se