The influence of obesity on operating room time and perioperative complications in cochlear implantation

Objective: The rising incidence of obesity in the United States is associated with increased healthcare expenditures and resource allocation. Obesity has been associated with prolonged operating times during surgical procedures. The primary objective of this study is to compare body mass index (BMI)...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Jonathan L. Hatch, Isabel M. Boersma, Forest W. Weir, Michael J. Bauschard, Meredith A. Holcomb, Paul R. Lambert, Ted A. Meyer
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2017
Materias:	Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/93d37d5eb8234728ab31af16a7033aee
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:93d37d5eb8234728ab31af16a7033aee
record_format	dspace
spelling	oai:doaj.org-article:93d37d5eb8234728ab31af16a7033aee2021-12-02T13:35:58ZThe influence of obesity on operating room time and perioperative complications in cochlear implantation2095-881110.1016/j.wjorl.2017.12.004https://doaj.org/article/93d37d5eb8234728ab31af16a7033aee2017-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881117301439https://doaj.org/toc/2095-8811Objective: The rising incidence of obesity in the United States is associated with increased healthcare expenditures and resource allocation. Obesity has been associated with prolonged operating times during surgical procedures. The primary objective of this study is to compare body mass index (BMI) to length of surgery during cochlear implantation. Methods: A retrospective case control study from a tertiary academic referral center was performed. Patients included were adults who underwent primary, single-sided cochlear implantation with documented BMI and operating room (OR) times from January 2009 to July 2015. The following data were collected: BMI, total operating room time (TORT), surgical operating room time (SORT), ASA status, perioperative and postoperative complications, age, and gender. Results: Two hundreds and thirty-four patients were included and stratified into obese (BMI >30) and non-obese (BMI < 30) categories. Statistical analysis was performed comparing TORT against the obesity category along with other variables. Independent sample t-test demonstrated that obesity increases TORT and SORT by 16.8 min (P = 0.0002) and 9.3 min (P = 0.03), respectively, compared to the non-obese group. Multivariate linear regression analysis demonstrated no statistically significant impact of gender, or ASA status on total operating or surgical time. Obesity was associated with increased perioperative complications (odds ratio [OR], 6.21; 95% CI, 1.18–32.80; P = 0.03) and postoperative complications (OR, 3.97; 95% CI, 1.29–12.26; P = 0.02). Conclusions: Obesity leads to longer TORT and SORT during primary cochlear implant surgery. Obesity is also associated with increased perioperative and postoperative complications compared to non-obese patients. These data have implications with utilization of operating room resources. Keywords: Cochlear implant, Body mass index, Operating time, Perioperative complicationsJonathan L. HatchIsabel M. BoersmaForest W. WeirMichael J. BauschardMeredith A. HolcombPaul R. LambertTed A. MeyerKeAi Communications Co., Ltd.articleOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 3, Iss 4, Pp 231-234 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Otorhinolaryngology RF1-547 Surgery RD1-811 Jonathan L. Hatch Isabel M. Boersma Forest W. Weir Michael J. Bauschard Meredith A. Holcomb Paul R. Lambert Ted A. Meyer The influence of obesity on operating room time and perioperative complications in cochlear implantation
description	Objective: The rising incidence of obesity in the United States is associated with increased healthcare expenditures and resource allocation. Obesity has been associated with prolonged operating times during surgical procedures. The primary objective of this study is to compare body mass index (BMI) to length of surgery during cochlear implantation. Methods: A retrospective case control study from a tertiary academic referral center was performed. Patients included were adults who underwent primary, single-sided cochlear implantation with documented BMI and operating room (OR) times from January 2009 to July 2015. The following data were collected: BMI, total operating room time (TORT), surgical operating room time (SORT), ASA status, perioperative and postoperative complications, age, and gender. Results: Two hundreds and thirty-four patients were included and stratified into obese (BMI >30) and non-obese (BMI < 30) categories. Statistical analysis was performed comparing TORT against the obesity category along with other variables. Independent sample t-test demonstrated that obesity increases TORT and SORT by 16.8 min (P = 0.0002) and 9.3 min (P = 0.03), respectively, compared to the non-obese group. Multivariate linear regression analysis demonstrated no statistically significant impact of gender, or ASA status on total operating or surgical time. Obesity was associated with increased perioperative complications (odds ratio [OR], 6.21; 95% CI, 1.18–32.80; P = 0.03) and postoperative complications (OR, 3.97; 95% CI, 1.29–12.26; P = 0.02). Conclusions: Obesity leads to longer TORT and SORT during primary cochlear implant surgery. Obesity is also associated with increased perioperative and postoperative complications compared to non-obese patients. These data have implications with utilization of operating room resources. Keywords: Cochlear implant, Body mass index, Operating time, Perioperative complications
format	article
author	Jonathan L. Hatch Isabel M. Boersma Forest W. Weir Michael J. Bauschard Meredith A. Holcomb Paul R. Lambert Ted A. Meyer
author_facet	Jonathan L. Hatch Isabel M. Boersma Forest W. Weir Michael J. Bauschard Meredith A. Holcomb Paul R. Lambert Ted A. Meyer
author_sort	Jonathan L. Hatch
title	The influence of obesity on operating room time and perioperative complications in cochlear implantation
title_short	The influence of obesity on operating room time and perioperative complications in cochlear implantation
title_full	The influence of obesity on operating room time and perioperative complications in cochlear implantation
title_fullStr	The influence of obesity on operating room time and perioperative complications in cochlear implantation
title_full_unstemmed	The influence of obesity on operating room time and perioperative complications in cochlear implantation
title_sort	influence of obesity on operating room time and perioperative complications in cochlear implantation
publisher	KeAi Communications Co., Ltd.
publishDate	2017
url	https://doaj.org/article/93d37d5eb8234728ab31af16a7033aee
work_keys_str_mv	AT jonathanlhatch theinfluenceofobesityonoperatingroomtimeandperioperativecomplicationsincochlearimplantation AT isabelmboersma theinfluenceofobesityonoperatingroomtimeandperioperativecomplicationsincochlearimplantation AT forestwweir theinfluenceofobesityonoperatingroomtimeandperioperativecomplicationsincochlearimplantation AT michaeljbauschard theinfluenceofobesityonoperatingroomtimeandperioperativecomplicationsincochlearimplantation AT meredithaholcomb theinfluenceofobesityonoperatingroomtimeandperioperativecomplicationsincochlearimplantation AT paulrlambert theinfluenceofobesityonoperatingroomtimeandperioperativecomplicationsincochlearimplantation AT tedameyer theinfluenceofobesityonoperatingroomtimeandperioperativecomplicationsincochlearimplantation AT jonathanlhatch influenceofobesityonoperatingroomtimeandperioperativecomplicationsincochlearimplantation AT isabelmboersma influenceofobesityonoperatingroomtimeandperioperativecomplicationsincochlearimplantation AT forestwweir influenceofobesityonoperatingroomtimeandperioperativecomplicationsincochlearimplantation AT michaeljbauschard influenceofobesityonoperatingroomtimeandperioperativecomplicationsincochlearimplantation AT meredithaholcomb influenceofobesityonoperatingroomtimeandperioperativecomplicationsincochlearimplantation AT paulrlambert influenceofobesityonoperatingroomtimeandperioperativecomplicationsincochlearimplantation AT tedameyer influenceofobesityonoperatingroomtimeandperioperativecomplicationsincochlearimplantation
_version_	1718392687594307584

The influence of obesity on operating room time and perioperative complications in cochlear implantation

Ejemplares similares