Outcomes From a Level 1 Trauma and Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Center of Excellence.
Tiffany N AndersonEric M WilliamsTyler J LoftusCrystal N Johnson-MannJessica E TaylorPublished in: The American surgeon (2022)
Trauma patients with obesity experience disparity in various outcomes. Similar to trauma centers, vetted credentialing is in practice for bariatric services. This study evaluates outcomes of trauma patients with obesity at a Level 1 Trauma Center and verified bariatric surgery center of excellence (BSCOE). The trauma registry was reviewed for individuals admitted between January 1, 2008 to December 31, 2020 who were age 19 years or older and stratified by World Health Organization body mass index (BMI). Various morbidity and mortality outcomes were examined. There were 20 788 patients included in this analysis. Intensive care unit (ICU) length of stay (LOS) was found to be statistically longer for patients with BMI >40. Overall results suggest that the infrastructure associated with this BSCOE may improve care for this specialized patient population.
Keyphrases
- trauma patients
- quality improvement
- weight loss
- bariatric surgery
- body mass index
- intensive care unit
- weight gain
- healthcare
- insulin resistance
- type diabetes
- metabolic syndrome
- palliative care
- end stage renal disease
- primary care
- patient safety
- roux en y gastric bypass
- obese patients
- ejection fraction
- physical activity
- gastric bypass
- high fat diet induced
- peritoneal dialysis
- glycemic control
- prognostic factors
- adipose tissue
- pain management
- patient reported outcomes
- skeletal muscle
- extracorporeal membrane oxygenation