Elevated Risk of Inpatient Admission for Elective Surgeries in Those With BMI Greater Than 40

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Conference Proceeding

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We present a quality improvement opportunity at our institution after careful review of elective operations. Of 301,012 elective cases in adult patients with plan for 23 hour observation, 34,860 patients required admission to inpatient status (11.6 %). After analysis of those patients who had a BMI >40.0, 14.4% ultimately needed inpatient admission, a 19.4% increase of statistical significance (p<0.00001) without any change in 30 day hospital mortality. Given the morbidity and cost associated with prolonged hospital stay, we recommend cautious consideration of patients with severe obesity who are being evaluated for elective surgery.


American Society of Anesthesiologists Annual Meeting, October 12-16, 2023, San Francisco, CA