Role of intraoperative fluids on hospital length of stay in laparoscopic bariatric surgery: a retrospective study in 224 consecutive patients
Background Studies are unclear regarding optimal intraoperative fluid management during laparoscopic bariatric surgery. The purpose of this 1-year study was to investigate the role of intraoperative fluid administration on hospital length of stay (hLOS) and postoperative complications in laparoscopi...
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Veröffentlicht in: | Surgical endoscopy 2015-10, Vol.29 (10), p.2960-2969 |
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Hauptverfasser: | , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
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Zusammenfassung: | Background
Studies are unclear regarding optimal intraoperative fluid management during laparoscopic bariatric surgery. The purpose of this 1-year study was to investigate the role of intraoperative fluid administration on hospital length of stay (hLOS) and postoperative complications in laparoscopic bariatric surgery.
Methods
Patient data analyzed included previously reported demographics, comorbidities, and intraoperative fluid administration on the duration of hLOS and incidence of postoperative complications.
Results
Logistic regression analysis of demographic and comorbidity variables revealed that BMI (
P
= 0.0099) and history of anemia (
P
= 0.0084) were significantly associated with hLOS (C index statistic, 0.7). Lower rates of intraoperative fluid administration were significantly associated with longer hLOS (
P
= 0.0005). Recursive partitioning observed that patients who received 7 ml/kg/h) (
P
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ISSN: | 0930-2794 1432-2218 |
DOI: | 10.1007/s00464-014-4029-1 |