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

作     者：Jonathan L.Hatch Isabel M.Boersma Forest W.Weir Michael J.Bauschard Meredith A.Holcomb Paul R.Lambert Ted A.Meyer Hatch Jonathan L.;Boersma Isabel M.;Weir Forest W.;Bauschard Michael J.;Holcomb Meredith A.;Lambert Paul R.;Meyer Ted A.

作者机构：Department of Otorhinolaryngology Head and Neck Surgery Medical University of South Carolina SC 29425 USA 

出 版 物：《World Journal of Otorhinolaryngology-Head and Neck Surgery》 (世界耳鼻咽喉头颈外科杂志（英文）)

年 卷 期：2017年第3卷第4期

页      面：231-234页

学科分类：1002[医学-临床医学] 100213[医学-耳鼻咽喉科学] 10[医学] 

主　　题：Cochlear implant Body mass index Operating time Perioperative complications 

摘      要：Objective:The rising incidence of obesity in the United States is associated with increased healthcare expenditures and resource *** has been associated with prolonged operating times during surgical *** primary objective of this study is to compare body mass index (BMI) to length of surgery during cochlear ***:A retrospective case control study from a tertiary academic referral center was *** included were adults who underwent primary,single-sided cochlear implantation with documented BMI and operating room (OR) times from January 2009 to July *** following data were collected:BMI,total operating room time (TORT),surgical operating room time (SORT),ASA status,perioperative and postoperative complications,age,and ***:Two hundreds and thirty-four patients were included and stratified into obese (BMI 30)and non-obese (BMI 30) *** analysis was performed comparing TORT against the obesity category along with other *** 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 *** linear regression analysis demonstrated no statistically significant impact of gender,or ASA status on total operating or surgical *** 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 *** is also associated with increased perioperative and postoperative complications compared to non-obese *** data have implications with utilization of operating room resources.