Older Age Confers a Higher Risk of 30-Day Morbidity and Mortality Following Laparoscopic Bariatric Surgery: an Analysis of the Metabolic and Bariatric Surgery Quality Improvement Program

  • Ivy N. Haskins
  • Tammy Ju
  • Ashlyn E. Whitlock
  • Lisbi Rivas
  • Richard L. Amdur
  • Paul P. Lin
  • Khashayar Vaziri
Original Contributions
  • 9 Downloads

Abstract

Introduction

There is a paucity of literature describing the association of age with the risk of adverse events following bariatric surgery. The purpose of this study is to investigate the association of age with 30-day morbidity and mortality following laparoscopic bariatric surgery using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database.

Methods

All adult patients undergoing laparoscopic Roux-en-Y gastric bypass (RNGYB) or sleeve gastrectomy (SG) were identified within the MBSAQIP database. Patients were divided into five equal age quintiles. Binary outcomes of interest, including cardiac, pulmonary, wound, septic, clotting, and renal events, in addition to the incidence of related 30-day unplanned reintervention, related 30-day mortality, and a composite morbidity and mortality outcome were compared across the age quintiles and procedures.

Results

A total of 266,544 patients met inclusion criteria. Older age was associated with an increased risk of all morbidity outcomes except venous thromboembolism events, 30-day mortality, and the composite morbidity and mortality outcome. Patients who underwent Roux-en-Y gastric bypass had worse outcomes per quintile for almost every outcome of interest when compared to patients who underwent sleeve gastrectomy.

Conclusion

Older patients and patients who undergo Roux-en-Y gastric bypass are at an increased risk of perioperative morbidity and mortality following laparoscopic bariatric surgery. Additional studies are needed to determine the association of age with long-term weight loss and cardiometabolic comorbidity resolution following bariatric surgery in order to determine if the increased perioperative risk is offset by improved long-term outcomes in older patients undergoing bariatric surgery.

Keywords

Age Bariatric surgery Morbidity Mortality Roux-en-Y gastric bypass Sleeve gastrectomy 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare no conflict of interest directly related to this work. Author 1 is the recipient of the Americas Hernia Society Resident Research Grant, which is unrelated to this work.

Ethical Approval

For this type of study, formal consent is not required.

Informed Consent

Does not apply.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Ivy N. Haskins
    • 1
  • Tammy Ju
    • 1
  • Ashlyn E. Whitlock
    • 2
  • Lisbi Rivas
    • 1
  • Richard L. Amdur
    • 1
  • Paul P. Lin
    • 1
  • Khashayar Vaziri
    • 1
  1. 1.Department of SurgeryGeorge Washington UniversityWashingtonUSA
  2. 2.School of Medicine and Health SciencesGeorge Washington UniversityWashingtonUSA

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