ArticleBMC surgery2022
The impact of obesity on surgical outcomes in patients undergoing emergency laparotomy for high-risk abdominal emergencies.
Article in BMC surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Critical values for body mass index related to morbidity in high-volume low-complexity general surgery: a systematic review and meta-analysis.Annals of the Royal College of Surgeons of England · 2025Pooled it
- The safety, tolerability and clinical impact of pre-operative very low-calorie diet prior to non-bariatric abdominal surgery: a systematic review.Langenbeck's archives of surgery · 2024Pooled it
- Effect of obesity on perioperative outcomes following gastrointestinal surgery: meta-analysis.BJS open · 2023Pooled it
- BMI threshold associates with increased 30-day complications after total thyroidectomy surgery.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Article
- Increasing Obesity Severity Is Associated With Less Surgical Care in the United States.Obesity (Silver Spring, Md.) · 2026Article
- Standardizing Preoperative Care for Elective Spine Surgery: The University of Oklahoma Elective Spine Surgery Protocol.GeroScience · 2026Review
- GLP-1 Receptor Agonists Versus Bariatric Surgery: Effects of Weight Loss and BMI on Subsequent General Surgical Procedures.Clinical obesity · 2026Article
- Review
- Intraoperative hypotension is associated with adverse postoperative clinical outcomes in elderly patients with hip fractures.Journal of orthopaedic surgery and research · 2026Article
- The Challenges of Postoperative Tissue Flap Vitality Monitoring in Obese Individuals.Journal of clinical medicine · 2025Review
- Article
- Body Mass Index and Postsurgical Outcomes in Older Adults.JAMA network open · 2025Article
- Obesity Correlates With 90-Day Postoperative Complications but Not 5-Year Retearing Rates After Anterior Cruciate Ligament Reconstruction.Orthopaedic journal of sports medicine · 2025Article
- Article
- Assessing perioperative risks in a mixed elderly surgical population using machine learning: A multi-objective symbolic regression approach to cardiorespiratory fitness derived from cardiopulmonary exercise testing.PLOS digital health · 2025Article
- [The weight-loss injection : An orthopaedic overview].Orthopadie (Heidelberg, Germany) · 2025Review
- Association of body mass index with post-liver transplant outcomes.Clinical transplantation · 2024Article
- Non-bariatric Surgeons' Perspectives on Perioperative Care for Patients Living with Obesity: Results of an International Survey.Obesity surgery · 2023Article
- Article
- Review
Corrections and comments
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundObesity has been shown to increase the rates of morbidity and occasionally mortality in patients undergoing nonbariatric elective surgery. However, little is known about the impact of obesity on outcomes after surgery for high-risk abdominal emergencies.
methodsA single-center retrospective evaluation of outcomes in high-risk abdominal emergency patients categorized by body mass index (BMI) was conducted. Patient demographics, comorbidities, and operative details were analyzed. Patients with normal weight (BMI 18.5-24.9) served as comparators. Multivariable linear and logistic regression analyses were performed to assess the impact of obesity on surgical outcomes.
resultsIn total, 886 patients with BMI < 18.5 (underweight; n = 50), 18.5-24.9 (normal weight; n = 306), 25-29.9 (overweight; n = 336) and ≥ 30 (obese; n = 194) based on the World Health Organization (WHO) weight classification criteria met the inclusion criteria. Compared to normal-weight patients, patients with overweight and obesity were older and more likely to be male. The rates of comorbidity (100% vs 91.2%, p = < 0.0001), morbidity (77.8% vs 65.6%, p = 0.003), and in-hospital mortality (44.8% vs 30.4%, p = 0.001) were all higher in patients with obesity than in normal-weight patients. Patients with obesity had an increased intensive care unit length of stay (ICU LOS) (13 days vs 9 days, p = 0.019) and hospital LOS (21.4 days vs 18.1 days, p = 0.081) and prolonged ventilation (39.1% vs 19.6%, p = 0.003). As BMI deviated from the normal range, the morbidity and mortality rates increased incrementally, with the highest morbidity (87.9%) and mortality (54.5%) rates observed in morbidly obese patients (BMI ≥ 40).
conclusionsPatients with obesity were the most likely to have coexisting conditions, experience postoperative complications, and die during the first admission following EL for high-risk abdominal emergencies.
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