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Obesity Surgery

, Volume 19, Issue 5, pp 560–564 | Cite as

Characteristics and Outcome of Patients Admitted to the ICU Following Bariatric Surgery

  • Renee J. C. van den Broek
  • Marc P. BuiseEmail author
  • Francois M. van Dielen
  • Alexander J. G. H. Bindels
  • André A. J. van Zundert
  • J. Frans Smulders
Research Article

Abstract

Background

This study evaluates the characteristics and outcome of patients admitted to the ICU following bariatric surgery.

Methods

Descriptive study. A review of a prospectively collected database of our bariatric surgery procedures from 2003 until 2006 was performed. The study was performed in a tertiary level, mixed medical and surgical, adult ICU of a large referral hospital.

Results

Of the 265 patients undergoing bariatric surgery (mainly gastroplasties and Roux-en-Y gastric bypasses), 22 (8%) were admitted to the ICU, of which 14 (64%) were on an elective basis and eight (36%) emergently. Hospital length of stay (LOS) for all patients was 4.5 days and ICU LOS was 12 days. Most elective admissions were standard procedure because of obstructive sleep apnea (OSA) or super obesity, with a median ICU stay of 1 day. Emergent admissions were mainly done after emergent surgery due to surgical complications and had a median ICU stay of 8 days. Only two patients needed intensive care for more than 3 days. There were no deaths during ICU stay.

Conclusions

The ICU admission rate in our report is 8%. This study showed that 32 ICU days are needed per 100 diverse bariatric procedures. Most patients are admitted to the ICU for only a few days and the majority of the admissions is planned.

Keywords

ICU Bariatric surgery Obesity 

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Copyright information

© Springer Science + Business Media, LLC 2008

Authors and Affiliations

  • Renee J. C. van den Broek
    • 1
  • Marc P. Buise
    • 2
  • Francois M. van Dielen
    • 3
  • Alexander J. G. H. Bindels
    • 1
    • 4
  • André A. J. van Zundert
    • 2
  • J. Frans Smulders
    • 3
  1. 1.Department of Intensive CareCatharina HospitalEindhovenThe Netherlands
  2. 2.Department of Anesthesiology, Intensive Care and Pain TherapyCatharina HospitalEindhovenThe Netherlands
  3. 3.Department of SurgeryCatharina HospitalEindhovenThe Netherlands
  4. 4.Department of Internal MedicineCatharina HospitalEindhovenThe Netherlands

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