Outcomes of Bariatric Surgery in the Elderly

摘要: The Medicare Coverage Advisory Committee recently concluded that evidence supports the safety and effectiveness of bariatric surgery in general adult population. However, more information is needed on role elderly. aim this study was to examine outcome elderly performed at academic centers. Using International Classification Diseases, 9th Revision diagnosis procedure codes, we obtained data from University HealthSystem Consortium Clinical Data Base for all (>60 years) nonelderly (19-60 patients who underwent treatment morbid obesity between 1999 2005. Outcome measures, including patient characteristics, length stay, 30-day readmission, morbidity, observed expected (risk-adjusted) mortality, were compared groups. Bariatric represents 2.7 per cent (n = 1,339) operations being Of 99 centers performing surgery, 78 (79%) perform Compared with patients, had comorbidities, longer lengths stay (4.9 days vs 3.8 days, P < 0.01), overall complications (18.9% 10.9%, pulmonary (4.3% 2.3%, hemorrhagic (2.5% 1.5%, wound (1.7% 1.0%). in-hospital mortality rate also higher group (0.7% 0.3%, 0.03). When risk adjusted, observed-to-expected ratio 0.9. In a subset pre-existing cardiac condition 236), 4.7 cent. only small fraction number Although morbidity elderly, considered as safe other gastrointestinal procedures because better than mortality.