Document Detail

Bariatric Surgery: Severity, Level of Control, and Time Required for Preoperative Asthma Control.
MedLine Citation:
PMID:  23015269     Owner:  NLM     Status:  Publisher    
BACKGROUND: There is an increased prevalence of asthmatic, obese patients undergoing bariatric surgery. The objective of our study is to evaluate the severity, level of control, respiratory medication use, and time required for prebariatric surgery asthma control. METHODS: This is a prospective study in which 88 obese asthmatics were evaluated by a pulmonologist in two steps, prebariatric surgery. In the first step, patients were evaluated for severity, level of control, and respiratory medication in use, categorized as bronchodilators and corticosteroids. In the second step, the time required for asthma control between steps and appropriate respiratory medication was determined. RESULTS: Thirty-eight obese patients (43.2%) had intermittent asthma, 22 had mildly persistent (25.0%), 24 moderately persistent (27.3%), and 4 severely persistent (4.5%). There were 43 patients with controlled asthma (48.9%), 31 partly controlled (35.2%), and 14 uncontrolled (15.9%). The study sample showed a significant increase in bronchodilators in the first step and corticosteroids in the second step (p ≤ 0.0001). Comparisons between steps showed significant differences with a reduction of bronchodilators and increase in corticosteroids in the second step (p ≤ 0.0001). The mean time (days) required for asthma control between steps was 28.98 ± 33.40 days, with significant differences between groups (p ≤ 0.001). CONCLUSIONS: In prebariatric surgery, there was a higher proportion of intermittent asthma and uncontrolled asthma, with asthma severity influencing the achievement of asthma control and the time required for surgical release.
Saulo Maia d'Avila Melo
Related Documents :
11696279 - Ascites.
15986749 - Posttraumatic syringomyelia--a serious complication in tetra- and paraplegic patients.
12830009 - The management of ascites in cirrhosis: report on the consensus conference of the inter...
8215659 - Mid-term results after bidirectional cavopulmonary shunts.
21048579 - Use of urokinase in the treatment of tuberculous meningitis hydrocephalus.
20703849 - Favorable clinical outcome using a covered stent following transjugular intrahepatic po...
10650299 - Predictors of medical events in patients enrolled in the cardiac insufficiency bisoprol...
19151679 - No difference in the 5-year survival rates between the resin-bonded cantilever bridge a...
25478409 - The effect of epidural analgesia on labour, mode of delivery and neonatal outcome in nu...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-27
Journal Detail:
Title:  Obesity surgery     Volume:  -     ISSN:  1708-0428     ISO Abbreviation:  Obes Surg     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9106714     Medline TA:  Obes Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Federal University of Sergipe, Aracaju, Brazil,
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Secondary Hyperparathyroidism, Vitamin D Sufficiency, and Serum Calcium 5 Years After Gastric Bypas...
Next Document:  Stable isotope analysis in primatology: a critical review.