Complex estimation of the operation risk in patients, suffering morbid obesity

Abstract

Objective. To compare theoretically obtained and real indices of the occurrence rate for postoperative complications and lethality with further determination of acceptability of the indices used in practical work. Маterials and methods. The investigation was conducted in 90 patients, suffering morbid obesity, to whom the gastric sleeve resection was done in the Institute (Group А) and biliopancreatic shunting (Group B) in 2014 - 2018 yrs. For every group of patients the P-POSSUM indices were calculated. The calculation and real indices of morbidity and lethality were compared. Results. There was no lethality in both groups. The calculated rate for the complications and lethality occurrence in patients of Group B have constituted (94.7 ± 15.5) and (2.6 ± 4.4)%, accordingly, and in patients of the Group А - (18.6 ± 6.2) and (0.7 ± 0.3)% accordingly. Levine’s test was applied for estimation of the indices used acceptability in practical work. Conclusion. P-POSSUM scale has high specificity for determination of the operation risk in patients, suffering morbid obesity.

Keywords

• morbid obesity; іndices of risk; p-possum scale; complications.