Patient characteristics, co-morbidities, preoperative consultation and initial bariatric operation for 590 bariatric patients undergoing 650 admissions to an ICU between 2007 and 2011. CPAP, continuous positive airway pressure; COPD, chronic obstructive pulmonary disease; ICU, intensive care unit; IQR, interquartile range; LAGB, laparoscopic adjustable gastric band. aSpecialist review before day of surgery. bIncludes internal physician, haematologist, nephrologist, immunologist, endocrinologist, clinical microbiologist, psychiatrist, or vascular surgeon. cBased on 650 ICU admissions in 590 patients. dRoux-en-Y, mini gastric bypass, pancreatobiliary bypass, gastroplasty, and gastric balloon procedures. eIndex hospitalization was the hospitalization related to the first bariatric surgery and excludes patients admitted to the ICU upon hospital re-admission for ongoing bariatric complications
| Characteristics . | Elective ICU patients (n=414) . | Emergent ICU patients (n=176) . | P-value . |
|---|---|---|---|
| Patient characteristics [sd, median, IQR] | |||
| Age (mean; yr) | 48.2 | 47.1 | 0.28 |
| [11.4, 49, 40–57] | [11.1, 48, 39–55] | ||
| Gender (male) [n (%)] | 231 (55.9) | 62 (35.2) | <0.001 |
| Weight (mean; kg) | 142 | 120 | <0.001 |
| [30, 140, 122–160] | [30, 118, 98–139] | ||
| BMI (mean; kg m−2) | 48.2 | 42.3 | <0.001 |
| [9.1, 47.6, 41–54] | [8.1, 41.4, 36–49] | ||
| Premorbid co-morbidities [n (%)] | |||
| Obstructive sleep apnoea | 151 (36.6) | 41 (23.3) | 0.002 |
| CPAP | 162 (39.2) | 28 (15.9) | <0.001 |
| Asthma/COPD | 83 (20.1) | 30 (17.0) | 0.43 |
| Smoker | 51 (12.3) | 33 (18.8) | 0.05 |
| Ischaemic heart disease | 44 (10.7) | 9 (5.1) | 0.04 |
| Hypertension | 227 (55.0) | 67 (38.1) | <0.001 |
| ≥3 Antihypertensive drugs | 54 (13.0) | 11 (6.2) | 0.01 |
| Diabetes mellitus | 140 (33.9) | 36 (20.5) | 0.001 |
| Preoperative consultationa [n (%)] | |||
| Cardiologist review | 23 (5.1) | 24 (11.9) | 0.002 |
| Pulmonologist review | 44 (9.8) | 5 (2.5) | 0.001 |
| Anaesthetist review | 113 (25.2) | 33 (16.4) | 0.02 |
| Other specialist reviewb | 10 (2.2) | 3 (1.5) | 0.76 |
| ASA classificationc [sd, median, IQR] | 3.2 [0.7, 3, 3–4] | 3.8 [2.2, 3, 3–4] | <0.001 |
| Primary bariatric operation [n (%)] | |||
| LAGB | 231 (55.9) | 95 (54.0) | 0.72 |
| Sleeve gastrectomy | 174 (42.1) | 71 (40.3) | 0.72 |
| Other bariatric surgeryd | 8 (2.0) | 10 (5.7) | 0.03 |
| Revisional surgery | 43 (10.4) | 42 (23.9) | 0.001 |
| Open surgery | 17 (4.1) | 18 (10.2) | 0.007 |
| Total ICU admissions (n) | 449 | 201 | |
| ICU during index hospitalizatione [n (%)] | 393 (87.5) | 92 (45.8) | <0.001 |
| Characteristics . | Elective ICU patients (n=414) . | Emergent ICU patients (n=176) . | P-value . |
|---|---|---|---|
| Patient characteristics [sd, median, IQR] | |||
| Age (mean; yr) | 48.2 | 47.1 | 0.28 |
| [11.4, 49, 40–57] | [11.1, 48, 39–55] | ||
| Gender (male) [n (%)] | 231 (55.9) | 62 (35.2) | <0.001 |
| Weight (mean; kg) | 142 | 120 | <0.001 |
| [30, 140, 122–160] | [30, 118, 98–139] | ||
| BMI (mean; kg m−2) | 48.2 | 42.3 | <0.001 |
| [9.1, 47.6, 41–54] | [8.1, 41.4, 36–49] | ||
| Premorbid co-morbidities [n (%)] | |||
| Obstructive sleep apnoea | 151 (36.6) | 41 (23.3) | 0.002 |
| CPAP | 162 (39.2) | 28 (15.9) | <0.001 |
| Asthma/COPD | 83 (20.1) | 30 (17.0) | 0.43 |
| Smoker | 51 (12.3) | 33 (18.8) | 0.05 |
| Ischaemic heart disease | 44 (10.7) | 9 (5.1) | 0.04 |
| Hypertension | 227 (55.0) | 67 (38.1) | <0.001 |
| ≥3 Antihypertensive drugs | 54 (13.0) | 11 (6.2) | 0.01 |
| Diabetes mellitus | 140 (33.9) | 36 (20.5) | 0.001 |
| Preoperative consultationa [n (%)] | |||
| Cardiologist review | 23 (5.1) | 24 (11.9) | 0.002 |
| Pulmonologist review | 44 (9.8) | 5 (2.5) | 0.001 |
| Anaesthetist review | 113 (25.2) | 33 (16.4) | 0.02 |
| Other specialist reviewb | 10 (2.2) | 3 (1.5) | 0.76 |
| ASA classificationc [sd, median, IQR] | 3.2 [0.7, 3, 3–4] | 3.8 [2.2, 3, 3–4] | <0.001 |
| Primary bariatric operation [n (%)] | |||
| LAGB | 231 (55.9) | 95 (54.0) | 0.72 |
| Sleeve gastrectomy | 174 (42.1) | 71 (40.3) | 0.72 |
| Other bariatric surgeryd | 8 (2.0) | 10 (5.7) | 0.03 |
| Revisional surgery | 43 (10.4) | 42 (23.9) | 0.001 |
| Open surgery | 17 (4.1) | 18 (10.2) | 0.007 |
| Total ICU admissions (n) | 449 | 201 | |
| ICU during index hospitalizatione [n (%)] | 393 (87.5) | 92 (45.8) | <0.001 |
Patient characteristics, co-morbidities, preoperative consultation and initial bariatric operation for 590 bariatric patients undergoing 650 admissions to an ICU between 2007 and 2011. CPAP, continuous positive airway pressure; COPD, chronic obstructive pulmonary disease; ICU, intensive care unit; IQR, interquartile range; LAGB, laparoscopic adjustable gastric band. aSpecialist review before day of surgery. bIncludes internal physician, haematologist, nephrologist, immunologist, endocrinologist, clinical microbiologist, psychiatrist, or vascular surgeon. cBased on 650 ICU admissions in 590 patients. dRoux-en-Y, mini gastric bypass, pancreatobiliary bypass, gastroplasty, and gastric balloon procedures. eIndex hospitalization was the hospitalization related to the first bariatric surgery and excludes patients admitted to the ICU upon hospital re-admission for ongoing bariatric complications
| Characteristics . | Elective ICU patients (n=414) . | Emergent ICU patients (n=176) . | P-value . |
|---|---|---|---|
| Patient characteristics [sd, median, IQR] | |||
| Age (mean; yr) | 48.2 | 47.1 | 0.28 |
| [11.4, 49, 40–57] | [11.1, 48, 39–55] | ||
| Gender (male) [n (%)] | 231 (55.9) | 62 (35.2) | <0.001 |
| Weight (mean; kg) | 142 | 120 | <0.001 |
| [30, 140, 122–160] | [30, 118, 98–139] | ||
| BMI (mean; kg m−2) | 48.2 | 42.3 | <0.001 |
| [9.1, 47.6, 41–54] | [8.1, 41.4, 36–49] | ||
| Premorbid co-morbidities [n (%)] | |||
| Obstructive sleep apnoea | 151 (36.6) | 41 (23.3) | 0.002 |
| CPAP | 162 (39.2) | 28 (15.9) | <0.001 |
| Asthma/COPD | 83 (20.1) | 30 (17.0) | 0.43 |
| Smoker | 51 (12.3) | 33 (18.8) | 0.05 |
| Ischaemic heart disease | 44 (10.7) | 9 (5.1) | 0.04 |
| Hypertension | 227 (55.0) | 67 (38.1) | <0.001 |
| ≥3 Antihypertensive drugs | 54 (13.0) | 11 (6.2) | 0.01 |
| Diabetes mellitus | 140 (33.9) | 36 (20.5) | 0.001 |
| Preoperative consultationa [n (%)] | |||
| Cardiologist review | 23 (5.1) | 24 (11.9) | 0.002 |
| Pulmonologist review | 44 (9.8) | 5 (2.5) | 0.001 |
| Anaesthetist review | 113 (25.2) | 33 (16.4) | 0.02 |
| Other specialist reviewb | 10 (2.2) | 3 (1.5) | 0.76 |
| ASA classificationc [sd, median, IQR] | 3.2 [0.7, 3, 3–4] | 3.8 [2.2, 3, 3–4] | <0.001 |
| Primary bariatric operation [n (%)] | |||
| LAGB | 231 (55.9) | 95 (54.0) | 0.72 |
| Sleeve gastrectomy | 174 (42.1) | 71 (40.3) | 0.72 |
| Other bariatric surgeryd | 8 (2.0) | 10 (5.7) | 0.03 |
| Revisional surgery | 43 (10.4) | 42 (23.9) | 0.001 |
| Open surgery | 17 (4.1) | 18 (10.2) | 0.007 |
| Total ICU admissions (n) | 449 | 201 | |
| ICU during index hospitalizatione [n (%)] | 393 (87.5) | 92 (45.8) | <0.001 |
| Characteristics . | Elective ICU patients (n=414) . | Emergent ICU patients (n=176) . | P-value . |
|---|---|---|---|
| Patient characteristics [sd, median, IQR] | |||
| Age (mean; yr) | 48.2 | 47.1 | 0.28 |
| [11.4, 49, 40–57] | [11.1, 48, 39–55] | ||
| Gender (male) [n (%)] | 231 (55.9) | 62 (35.2) | <0.001 |
| Weight (mean; kg) | 142 | 120 | <0.001 |
| [30, 140, 122–160] | [30, 118, 98–139] | ||
| BMI (mean; kg m−2) | 48.2 | 42.3 | <0.001 |
| [9.1, 47.6, 41–54] | [8.1, 41.4, 36–49] | ||
| Premorbid co-morbidities [n (%)] | |||
| Obstructive sleep apnoea | 151 (36.6) | 41 (23.3) | 0.002 |
| CPAP | 162 (39.2) | 28 (15.9) | <0.001 |
| Asthma/COPD | 83 (20.1) | 30 (17.0) | 0.43 |
| Smoker | 51 (12.3) | 33 (18.8) | 0.05 |
| Ischaemic heart disease | 44 (10.7) | 9 (5.1) | 0.04 |
| Hypertension | 227 (55.0) | 67 (38.1) | <0.001 |
| ≥3 Antihypertensive drugs | 54 (13.0) | 11 (6.2) | 0.01 |
| Diabetes mellitus | 140 (33.9) | 36 (20.5) | 0.001 |
| Preoperative consultationa [n (%)] | |||
| Cardiologist review | 23 (5.1) | 24 (11.9) | 0.002 |
| Pulmonologist review | 44 (9.8) | 5 (2.5) | 0.001 |
| Anaesthetist review | 113 (25.2) | 33 (16.4) | 0.02 |
| Other specialist reviewb | 10 (2.2) | 3 (1.5) | 0.76 |
| ASA classificationc [sd, median, IQR] | 3.2 [0.7, 3, 3–4] | 3.8 [2.2, 3, 3–4] | <0.001 |
| Primary bariatric operation [n (%)] | |||
| LAGB | 231 (55.9) | 95 (54.0) | 0.72 |
| Sleeve gastrectomy | 174 (42.1) | 71 (40.3) | 0.72 |
| Other bariatric surgeryd | 8 (2.0) | 10 (5.7) | 0.03 |
| Revisional surgery | 43 (10.4) | 42 (23.9) | 0.001 |
| Open surgery | 17 (4.1) | 18 (10.2) | 0.007 |
| Total ICU admissions (n) | 449 | 201 | |
| ICU during index hospitalizatione [n (%)] | 393 (87.5) | 92 (45.8) | <0.001 |
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