van den Broek Renee J C, Buise Marc P, van Dielen Francois M, Bindels Alexander J G H, van Zundert André A J, Smulders J Frans
Department of Intensive Care, Catharina Hospital, Eindhoven, The Netherlands.
Obes Surg. 2009 May;19(5):560-4. doi: 10.1007/s11695-008-9699-0. Epub 2008 Oct 2.
This study evaluates the characteristics and outcome of patients admitted to the ICU following bariatric surgery.
Descriptive study. A review of a prospectively collected database of our bariatric surgery procedures from 2003 until 2006 was performed. The study was performed in a tertiary level, mixed medical and surgical, adult ICU of a large referral hospital.
Of the 265 patients undergoing bariatric surgery (mainly gastroplasties and Roux-en-Y gastric bypasses), 22 (8%) were admitted to the ICU, of which 14 (64%) were on an elective basis and eight (36%) emergently. Hospital length of stay (LOS) for all patients was 4.5 days and ICU LOS was 12 days. Most elective admissions were standard procedure because of obstructive sleep apnea (OSA) or super obesity, with a median ICU stay of 1 day. Emergent admissions were mainly done after emergent surgery due to surgical complications and had a median ICU stay of 8 days. Only two patients needed intensive care for more than 3 days. There were no deaths during ICU stay.
The ICU admission rate in our report is 8%. This study showed that 32 ICU days are needed per 100 diverse bariatric procedures. Most patients are admitted to the ICU for only a few days and the majority of the admissions is planned.
本研究评估了肥胖症手术后入住重症监护病房（ICU）患者的特征及预后。
描述性研究。对2003年至2006年前瞻性收集的肥胖症手术数据库进行回顾。该研究在一家大型转诊医院的三级综合内科和外科成人ICU中进行。
在265例行肥胖症手术的患者（主要是胃成形术和 Roux-en-Y 胃旁路术）中，22例（8%）入住ICU，其中14例（64%）为择期入住，8例（36%）为急诊入住。所有患者的住院时间为4.5天，ICU住院时间为12天。大多数择期入院是由于阻塞性睡眠呼吸暂停（OSA）或极度肥胖而进行的标准程序，ICU中位住院时间为1天。急诊入院主要是在因手术并发症进行急诊手术后进行，ICU中位住院时间为8天。只有两名患者需要重症监护超过3天。ICU住院期间无死亡病例。
我们报告中的ICU入住率为8%。本研究表明，每100例不同的肥胖症手术需要32个ICU住院日。大多数患者入住ICU仅需几天，且大多数入院是计划内的。
