Bariatric Surgery Outcomes in the Elderly

An ACS NSQIP Study

Robert B. Dorman, Anasooya A. Abraham, Waddah B. Al-Refaie, Helen M. Parsons, Sayeed Ikramuddin, Elizabeth B Habermann

Research output: Contribution to journalArticle

75 Citations (Scopus)

Abstract

Introduction: Mortality and complications following bariatric surgery occur at acceptable rates, but its safety in the elderly population is unknown. We hypothesized that short-term operative outcomes in bariatric surgery patients ≥65 years would be comparable to younger persons. Methods: Patients with a body mass index ≥35 kg/m 2 who underwent bariatric surgery in the 2005-2009 American College of Surgeons National Surgical Quality Improvement Program were identified. Controlling for confounders, multivariate regression was used to predict the impact of age on mortality, major events and prolonged length of stay at 30 days. Results: We identified 48,378 patients who underwent bariatric procedures between 2005 and 2009. Multivariate regression analysis demonstrated advancing age trended towards predicting mortality, but was not statistically significant. Additionally, patients ≥65 years did not experience higher risk of major complications for either open or laparoscopic procedures. However, patients age ≥65 years were more likely to experience prolonged length of stay for both open and laparoscopic procedures. Conclusion: This multi-hospital study demonstrates older age predicts short-term prolonged length of stay but not major events following bariatric surgery. Older age trends toward predicting mortality, but it is not statistically significant.

Original languageEnglish (US)
Pages (from-to)35-44
Number of pages10
JournalJournal of Gastrointestinal Surgery
Volume16
Issue number1
DOIs
StatePublished - Jan 2012
Externally publishedYes

Fingerprint

Bariatric Surgery
Length of Stay
Mortality
Bariatrics
Quality Improvement
Body Mass Index
Multivariate Analysis
Regression Analysis
Safety
Population

Keywords

  • Bariatric
  • Complications
  • Elderly
  • Mortality
  • NSQIP

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

Cite this

Dorman, R. B., Abraham, A. A., Al-Refaie, W. B., Parsons, H. M., Ikramuddin, S., & Habermann, E. B. (2012). Bariatric Surgery Outcomes in the Elderly: An ACS NSQIP Study. Journal of Gastrointestinal Surgery, 16(1), 35-44. https://doi.org/10.1007/s11605-011-1749-6

Bariatric Surgery Outcomes in the Elderly : An ACS NSQIP Study. / Dorman, Robert B.; Abraham, Anasooya A.; Al-Refaie, Waddah B.; Parsons, Helen M.; Ikramuddin, Sayeed; Habermann, Elizabeth B.

In: Journal of Gastrointestinal Surgery, Vol. 16, No. 1, 01.2012, p. 35-44.

Research output: Contribution to journalArticle

Dorman, RB, Abraham, AA, Al-Refaie, WB, Parsons, HM, Ikramuddin, S & Habermann, EB 2012, 'Bariatric Surgery Outcomes in the Elderly: An ACS NSQIP Study', Journal of Gastrointestinal Surgery, vol. 16, no. 1, pp. 35-44. https://doi.org/10.1007/s11605-011-1749-6
Dorman, Robert B. ; Abraham, Anasooya A. ; Al-Refaie, Waddah B. ; Parsons, Helen M. ; Ikramuddin, Sayeed ; Habermann, Elizabeth B. / Bariatric Surgery Outcomes in the Elderly : An ACS NSQIP Study. In: Journal of Gastrointestinal Surgery. 2012 ; Vol. 16, No. 1. pp. 35-44.
@article{dcdadfa0703b4754b7fd10cc04a12754,
title = "Bariatric Surgery Outcomes in the Elderly: An ACS NSQIP Study",
abstract = "Introduction: Mortality and complications following bariatric surgery occur at acceptable rates, but its safety in the elderly population is unknown. We hypothesized that short-term operative outcomes in bariatric surgery patients ≥65 years would be comparable to younger persons. Methods: Patients with a body mass index ≥35 kg/m 2 who underwent bariatric surgery in the 2005-2009 American College of Surgeons National Surgical Quality Improvement Program were identified. Controlling for confounders, multivariate regression was used to predict the impact of age on mortality, major events and prolonged length of stay at 30 days. Results: We identified 48,378 patients who underwent bariatric procedures between 2005 and 2009. Multivariate regression analysis demonstrated advancing age trended towards predicting mortality, but was not statistically significant. Additionally, patients ≥65 years did not experience higher risk of major complications for either open or laparoscopic procedures. However, patients age ≥65 years were more likely to experience prolonged length of stay for both open and laparoscopic procedures. Conclusion: This multi-hospital study demonstrates older age predicts short-term prolonged length of stay but not major events following bariatric surgery. Older age trends toward predicting mortality, but it is not statistically significant.",
keywords = "Bariatric, Complications, Elderly, Mortality, NSQIP",
author = "Dorman, {Robert B.} and Abraham, {Anasooya A.} and Al-Refaie, {Waddah B.} and Parsons, {Helen M.} and Sayeed Ikramuddin and Habermann, {Elizabeth B}",
year = "2012",
month = "1",
doi = "10.1007/s11605-011-1749-6",
language = "English (US)",
volume = "16",
pages = "35--44",
journal = "Journal of Gastrointestinal Surgery",
issn = "1091-255X",
publisher = "Springer New York",
number = "1",

}

TY - JOUR

T1 - Bariatric Surgery Outcomes in the Elderly

T2 - An ACS NSQIP Study

AU - Dorman, Robert B.

AU - Abraham, Anasooya A.

AU - Al-Refaie, Waddah B.

AU - Parsons, Helen M.

AU - Ikramuddin, Sayeed

AU - Habermann, Elizabeth B

PY - 2012/1

Y1 - 2012/1

N2 - Introduction: Mortality and complications following bariatric surgery occur at acceptable rates, but its safety in the elderly population is unknown. We hypothesized that short-term operative outcomes in bariatric surgery patients ≥65 years would be comparable to younger persons. Methods: Patients with a body mass index ≥35 kg/m 2 who underwent bariatric surgery in the 2005-2009 American College of Surgeons National Surgical Quality Improvement Program were identified. Controlling for confounders, multivariate regression was used to predict the impact of age on mortality, major events and prolonged length of stay at 30 days. Results: We identified 48,378 patients who underwent bariatric procedures between 2005 and 2009. Multivariate regression analysis demonstrated advancing age trended towards predicting mortality, but was not statistically significant. Additionally, patients ≥65 years did not experience higher risk of major complications for either open or laparoscopic procedures. However, patients age ≥65 years were more likely to experience prolonged length of stay for both open and laparoscopic procedures. Conclusion: This multi-hospital study demonstrates older age predicts short-term prolonged length of stay but not major events following bariatric surgery. Older age trends toward predicting mortality, but it is not statistically significant.

AB - Introduction: Mortality and complications following bariatric surgery occur at acceptable rates, but its safety in the elderly population is unknown. We hypothesized that short-term operative outcomes in bariatric surgery patients ≥65 years would be comparable to younger persons. Methods: Patients with a body mass index ≥35 kg/m 2 who underwent bariatric surgery in the 2005-2009 American College of Surgeons National Surgical Quality Improvement Program were identified. Controlling for confounders, multivariate regression was used to predict the impact of age on mortality, major events and prolonged length of stay at 30 days. Results: We identified 48,378 patients who underwent bariatric procedures between 2005 and 2009. Multivariate regression analysis demonstrated advancing age trended towards predicting mortality, but was not statistically significant. Additionally, patients ≥65 years did not experience higher risk of major complications for either open or laparoscopic procedures. However, patients age ≥65 years were more likely to experience prolonged length of stay for both open and laparoscopic procedures. Conclusion: This multi-hospital study demonstrates older age predicts short-term prolonged length of stay but not major events following bariatric surgery. Older age trends toward predicting mortality, but it is not statistically significant.

KW - Bariatric

KW - Complications

KW - Elderly

KW - Mortality

KW - NSQIP

UR - http://www.scopus.com/inward/record.url?scp=84855349040&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84855349040&partnerID=8YFLogxK

U2 - 10.1007/s11605-011-1749-6

DO - 10.1007/s11605-011-1749-6

M3 - Article

VL - 16

SP - 35

EP - 44

JO - Journal of Gastrointestinal Surgery

JF - Journal of Gastrointestinal Surgery

SN - 1091-255X

IS - 1

ER -