标题:
Peri-Anaesthetic Complications in Obese versus Non-Obese Patients in a Country with Limited Resources: Retrospective Cohort Study
作者:
Edwige Mombeleke, Wilfrid Mbombo, Alphonse Mosolo, Freddy Mbuyi, Rémy Kashala, Paul Kambala, Trésor Mampangula, Pascal Bayauli, Jean Bosco Kaziam, Emmanuel Namegabe, Didier Ndjekembo, Joseph Nsiala, Médard Bula-Bula, Berthe Barhayiga
关键词:
Complications, Anaesthetics, Obesity, Limited Resources
期刊名称:
Open Journal of Anesthesiology,
Vol.15 No.3,
March
24,
2025
摘要: Background and Rationale: Anaesthesia in obese patients is characterised by the occurrence of complications due to comorbidities and physiological and pharmacological changes caused by obesity. This study investigated complications in anaesthesia of obese versus non-obese patients in the not-always-optimal conditions of limited resources. Methods: This was a retrospective cohort study conducted at Monkole Hospital from 01/01/2011 to 31/12/2023 in obese versus non-obese patients (one-to-one ratio) anaesthetised for all surgery, excluding cardiac surgery. Peri-anaesthetic data up to hospital discharge were collected ethically and analysed with SPSS 26.0 for p Results: The sample comprised 2718 patients (1359 obese and 1359 non-obese). The mean age was comparable in both groups. A history of cardiovascular disease (p Conclusion: This study suggests that obesity is a risk factor for complications and mortality in anaesthesia, and therefore, the management of this type of patient must comply with the relevant recommendations in order to reduce this morbidity and mortality.