Association between interhospital transfer and morbid obesity in emergency general surgery procedures

Obese patients may have unique surgical needs. The goal of this study is to determine if there is an association between obesity and transfer in patients undergoing EGS. EGS patients were identified in the NSQIP 2011–2016 database. Outcome variables included interhospital transfer, days to surgery,...

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Veröffentlicht in:	The American journal of surgery 2020-11, Vol.220 (5), p.1290-1295
Hauptverfasser:	Georgino, Madeline M., Murphy, Keith, Paton, B. Lauren, Schiffern, Lynn, Ross, Samuel W., Reinke, Caroline E.
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Cardiovascular disease Clinical outcomes Databases, Factual Diabetes Emergencies Emergency general surgery Emergency procedures Expenditures Female Hernias Hospitals Humans Hypertension Infections Infectious diseases Intraoperative Complications - epidemiology Intraoperative Complications - etiology Intraoperative Complications - therapy Laparoscopy Logistic Models Male Middle Aged Morbidity Mortality Multivariate analysis Non-elective general surgery Obesity Obesity, Morbid - complications Outcome Assessment, Health Care Outcomes Patient Discharge - statistics & numerical data Patient Readmission - statistics & numerical data Patient Transfer - statistics & numerical data Patients Postoperative Complications - epidemiology Postoperative Complications - etiology Postoperative Complications - therapy Postoperative period Retrospective Studies Risk Factors Super obese Surgery Surgical Procedures, Operative Transfer Weight control
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Beschreibung
Zusammenfassung:	Obese patients may have unique surgical needs. The goal of this study is to determine if there is an association between obesity and transfer in patients undergoing EGS. EGS patients were identified in the NSQIP 2011–2016 database. Outcome variables included interhospital transfer, days to surgery, SSI, postoperative LOS, discharge destination, and 30-day readmission. Descriptive statistics and multivariable regression were utilized. 419,373 EGS patients were identified, and transfer status varied by obesity class. After controlling for other factors, obese patients had increased odds of interhospital transfer (OR = 1.07–1.53), SSI (OR = 1.22–1.69), and decreased odds of discharge to home (OR = 0.42–0.71, all p
ISSN:	0002-9610 1879-1883
DOI:	10.1016/j.amjsurg.2020.06.039