Obesity Surgery

, Volume 21, Issue 11, pp 1687–1692

Thirty-day Mortality After Bariatric Surgery: Independently Adjudicated Causes of Death in the Longitudinal Assessment of Bariatric Surgery

  • Mark D. Smith
  • Emma Patterson
  • Abdus S. Wahed
  • Steven H. Belle
  • Paul D. Berk
  • Anita P. Courcoulas
  • Gregory F. Dakin
  • David R. Flum
  • Laura Machado
  • James E. Mitchell
  • John Pender
  • Alfons Pomp
  • Walter Pories
  • Ramesh Ramanathan
  • Beth Schrope
  • Myrlene Staten
  • Akuezunkpa Ude
  • Bruce M. Wolfe
Clinical Research

DOI: 10.1007/s11695-011-0497-8

Cite this article as:
Smith, M.D., Patterson, E., Wahed, A.S. et al. OBES SURG (2011) 21: 1687. doi:10.1007/s11695-011-0497-8

Abstract

Background

Mortality following bariatric surgery is a rare event in contemporary series, making it difficult for any single center to draw meaningful conclusions as to cause of death. Nevertheless, much of the published mortality data come from single-center case series and reviews of administrative databases. These sources tend to produce lower mortality estimates than those obtained from controlled clinical trials. Furthermore, information about the causes of death and how they were determined is not always available. The aim of the present report is to describe in detail all deaths occurring within 30 days of surgery in the Longitudinal Assessment of Bariatric Surgery (LABS).

Methods

LABS is a ten-center observational cohort study of bariatric surgical outcomes. Data were collected prospectively for bariatric surgeries performed between March 2005 and April 2009. All deaths occurring within 30-days of surgery were identified, and cause of death assigned by an independent Adjudication Subcommittee, blinded to operating surgeon and site.

Results

Six thousand one hundred eighteen patients underwent primary bariatric surgery. Eighteen deaths (0.3%) occurred within 30-days of surgery. The most common cause of death was sepsis (33% of deaths), followed by cardiac causes (28%), and pulmonary embolism (17%). For one patient cause of death could not be determined despite examination of all available information.

Conclusions

This study confirms the low 30-day mortality rate following bariatric surgery. The recognized complications of anastomotic leak, cardiac events, and pulmonary emboli accounted for the majority of 30-day deaths.

Keywords

Mortality Cause of death Bariatric surgery Gastric bypass 

Copyright information

© Springer Science + Business Media, LLC 2011

Authors and Affiliations

  • Mark D. Smith
    • 1
  • Emma Patterson
    • 1
  • Abdus S. Wahed
    • 2
  • Steven H. Belle
    • 2
  • Paul D. Berk
    • 3
  • Anita P. Courcoulas
    • 4
  • Gregory F. Dakin
    • 5
  • David R. Flum
    • 6
  • Laura Machado
    • 7
  • James E. Mitchell
    • 8
  • John Pender
    • 9
  • Alfons Pomp
    • 5
  • Walter Pories
    • 9
  • Ramesh Ramanathan
    • 4
  • Beth Schrope
    • 3
  • Myrlene Staten
    • 10
  • Akuezunkpa Ude
    • 3
  • Bruce M. Wolfe
    • 11
  1. 1.Legacy Good Samaritan HospitalPortlandUSA
  2. 2.Data Coordinating CenterGraduate School of Public Health at the University of PittsburghPittsburghUSA
  3. 3.Columbia University Medical CenterNew YorkUSA
  4. 4.University of Pittsburgh Medical CenterPittsburghUSA
  5. 5.Weill Cornell Medical CollegeNew YorkUSA
  6. 6.University of WashingtonSeattleUSA
  7. 7.Sacramento Bariatric Medical AssociatesSacramentoUSA
  8. 8.Neuropsychiatric Research InstituteFargoUSA
  9. 9.East Carolina Medical CenterGreenvilleUSA
  10. 10.National Institute of Diabetes and Digestive and Kidney DiseasesIowa CityUSA
  11. 11.Oregon Health and Science UniversityPortlandUSA

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