Postoperative Complications
Conditions
Keywords
EOSS, Obesity and metabolic surgery, postoperative outcome, procedure selection
Brief summary
The Edmonton Obesity Staging System (EOSS) is a more comprehensive measure of obesity-related diseases and predictor of mortality than BMI or waist circumference. EOSS is also important in predicting post - operative outcome and 30-day mortality after metabolic surgery. The aim of this study is to determine whether EOSS could be an indicator for procedure selection in obesity and metabolic surgery.
Detailed description
All patients in Germany, who underwent Sleeve Gastrectomy, Roux-en Y Gastric Bypass and Mini/One anastomosis Gastric Bypass as a primary procedure for severe obesity, are prospectively registered in the German register StuDoQ MBE. Preoperative EOSS by Sharma et al. will be applied to all patients, who were operated between Februar 2015 and July 2017 by two different evaluators. Data collection will include the following: gender, age, body mass index, mobility, comorbidities, ASA score (American Society of Anesthesiologists score) perioperative complications next to Clavien Dindo, readmission rates and 30 - day mortality. Follow-up will be investigated in all patients up to 1 month after surgery. Complications, readmission rates and 30 day mortality will be investigated in relation to EOSS and the surgical procedure performed, to determine whether EOSS could be an indicator for procedure selection in obesity and metabolic surgery.
Interventions
OTHERRole of EOSS
The Edmonton Obesity Staging System (EOSS) is a more comprehensive measure of obesity-related diseases and predictor of mortality than body mass index (BMI) or waist circumference. Its application for the selection of obese patients for obesity surgery has been suggested. This study evaluates the role of the Edmonton Obesity Staging System (EOSS) in predicting postoperative outcome (next to the Clavien Dindo Classification) and 30-day mortality after metabolic surgery.
Sponsors
Deutsche Gesellschaft für Allgemein- und Viszeralchirurgie
Sana Klinikum Offenbach
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Intervention model description
A cohort of all patients who underwent obesity and metabolic surgery in Germany will be analyzed in relation to preoperative complications
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
Sleeve for severe obesity RNYGB for severe obesity MGB/OAGB for severe obesity \-
Exclusion criteria
* previous obesity surgery * previous surgery of the upper gastrointestinal tract in anamnesis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative complications | 30 days after surgery | postoperative outcome after surgery next to the Clavien Dindo Classification |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| postoperative complications related to Edmonton Obesity Staging System | 30 days after surgery | postoperative complications related to Edmonton Obesity Staging System |
| ASA related to Edmonton Obesity Staging System | prior to surgery | ASA related to Edmonton Obesity Staging System |
| Edmonton Obesity Staging System related to length of postoperative stay | 30 days after surgery | Edmonton Obesity Staging System related to length of postoperative stay |
| Edmonton Obesity Staging System related to readmission | 30 days after surgery | Edmonton Obesity Staging System related to readmission |
| Edmonton Obesity Staging System related gender | 30 days after surgery | Edmonton Obesity Staging System related gender |
| Edmonton Obesity Staging System related to surgical procedure | 30 days after surgery | Edmonton Obesity Staging System related to surgical procedure |
| postoperative complications related to surgical procedure | 30 days after surgery | postoperative complications related to surgical procedure |
| postoperative complications related to gender | 30 days after surgery | postoperative complications related to gender |
| age related to postoperative complications | 30 days after surgery | age related to postoperative complications |
| Body Mass Index related to postoperative complications | 30 days after surgery | Body Mass Index related to postoperative complications |
| Edmonton Obesity Staging System related to age | 30 days after surgery | Edmonton Obesity Staging System related to age |
| Edmonton Obesity Staging System related to Body Mass Index | 30 days after surgery | Edmonton Obesity Staging System related to Body Mass Index |
| postoperative complications related to ASA | 30 days after surgery | postoperative complications related to ASA |
Countries
Germany
Outcome results
None listed