| Title |
Comparative Outcomes of Bariatric Surgery in Patients with Impaired Mobility and Ambulatory Population
|
|---|---|
| Published in |
Obesity Surgery, February 2018
|
| DOI | 10.1007/s11695-018-3132-0 |
| Pubmed ID | |
| Authors |
Gautam Sharma, Zubaidah Nor-Hanipah, Ivy N. Haskins, Suriya Punchai, Andrew T. Strong, Chao Tu, John H. Rodriguez, Phillip R. Schauer, Matthew Kroh |
| Abstract |
This study aims to characterize complications, metabolic improvement, and change in ambulation status for patients with impaired mobility undergoing bariatric surgery. Individuals undergoing primary sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB) from February 2008 to December 2015 were included. Impaired mobility (WC) was defined as using a wheelchair or motorized scooter for at least part of a typical day. The WC group was propensity score matched to ambulatory patients (1:5 ratio). Comparisons were made for 30-day morbidity and mortality and 1-year improvement in weight-related comorbidities. There were 93 patients in the WC group matched to 465 ambulatory controls. The median operative time (180 vs 159 min, p = 0.003) and postoperative length of stay (4 vs 3 days, p ≤ 0.001) was higher in the WC group. There were no differences in readmission or all-cause morbidity within 30 days. The median percent excess weight loss (%EWL) at 1 year was similar (WC group, 65% available, 53% EWL vs AMB group, 73% available, 54% EWL); however, patients with impaired mobility were less likely to experience improvement in diabetes (76 vs 90%, p = 0.046), hypertension (63 vs 82%, p < 0.005), and obstructive sleep apnea (53 vs 71%, p < 0.001). Within the WC group, 62% had improvement in their mobility status, eliminating dependence on wheelchair or scooter assistance. Patients with both obesity and impaired mobility experience similar rates of perioperative morbidity and weight loss at 1 year compared to ambulatory controls. However, improvement in weight-related comorbidities may be less likely with impaired mobility. |
X Demographics
The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | 50% |
| Unknown | 1 | 50% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 50% |
| Scientists | 1 | 50% |
Mendeley readers
The data shown below were compiled from readership statistics for 82 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 82 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 12 | 15% |
| Student > Bachelor | 10 | 12% |
| Researcher | 10 | 12% |
| Other | 5 | 6% |
| Student > Postgraduate | 5 | 6% |
| Other | 10 | 12% |
| Unknown | 30 | 37% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 21 | 26% |
| Nursing and Health Professions | 10 | 12% |
| Psychology | 3 | 4% |
| Chemistry | 3 | 4% |
| Sports and Recreations | 3 | 4% |
| Other | 7 | 9% |
| Unknown | 35 | 43% |
Attention Score in Context
This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 02 October 2019.
All research outputs
#13,351,948
of 22,647,730 outputs
Outputs from Obesity Surgery
#1,664
of 3,356 outputs
Outputs of similar age
#221,059
of 443,163 outputs
Outputs of similar age from Obesity Surgery
#22
of 48 outputs
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So far Altmetric has tracked 3,356 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.4. This one is in the 49th percentile – i.e., 49% of its peers scored the same or lower than it.
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We're also able to compare this research output to 48 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 54% of its contemporaries.