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Predicting postoperative complications after bariatric surgery: the Bariatric Surgery Index for Complications, BASIC
Usha K Coblijn1, Julian Karres2, Christel A L de Raaff3
1Departments of Surgery, Onze Lieve Vrouwe Gasthuis, locatie West (Prevoiusly Sint Lucas Andreas Ziekenhuis, Amsterdam), Jan Tooropstraat 161, 1064 AE, Amsterdam, The Netherlands. usha.coblijn@gmail.com.
Surgical Endoscopy
|April 2, 2017
Summary
A new risk model, the Bariatric Surgery Index for Complications (BASIC), identifies patients at higher risk for complications after bariatric surgery. This tool aids in predicting and potentially reducing adverse events in these patients.
Area of Science:
- Bariatric Surgery
- Surgical Complications
- Risk Stratification
Background:
- Approximately 20% of patients undergoing bariatric surgery experience short- or long-term complications.
- Effective risk assessment is crucial for improving patient outcomes in bariatric procedures.
Purpose of the Study:
- To develop and validate a predictive risk model for postoperative complications following bariatric surgery.
- The developed model is named the Bariatric Surgery Index for Complications (BASIC).
Main Methods:
- A prospective consecutive patient database from November 2007 to February 2015 was analyzed.
- Risk factors for complications were identified following the TRIPOD statement.
- Patients were classified into three risk classes (I, II, III) based on the number of identified risk factors.
Main Results:
- Of 1709 patients, 15.9% developed complications, with 72.5% occurring within 30 days.
- Key predictors for complications included anticoagulant use, COPD, dyslipidemia, gender, psychiatric history, and revisional surgery.
- Complication rates increased significantly with higher BASIC risk classes (Class I: 13.5%, Class II: 21.6%, Class III: 31.4%).
Conclusions:
- The BASIC model effectively categorizes patients into low-, intermediate-, and high-risk groups for postoperative complications.
- This preoperative risk stratification tool can aid in personalized patient management after bariatric surgery.