alexa Prevalence and Complications of Obesity in Surgical Patients: A Multicenter Study in Benin, a Sub-Saharan African Country
ISSN: 2161-1165

Epidemiology: Open Access
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Case Report

Prevalence and Complications of Obesity in Surgical Patients: A Multicenter Study in Benin, a Sub-Saharan African Country

Eugene Zoumenou 1*, Emile Mensah2, Francis Dossou3, Mignagnal Kaboro4, Annelie Kerekou5, BLaise Tchaou6 and Martin Chobli1

1Emergency Department, Teaching Hospital Cotonou

2Department of Surgery, Teaching Hospital Parakou

3Department of surgery, Teaching Hospital Cotonou

4Department of Anesthesia and Intensive care, Teaching Hospital N’Djamena

5Department of Endocrinology, Teaching Hospital Cotonou

6Department Anesthesia and Intensive care, Teaching Hospital Parakou

*Corresponding Author:
Zoumenou Eugene
Emergency Department
Teaching Hospital Cotonou (CNHU) 03 BP 3844 Cotonou
Email: [email protected]

Received date: November 10, 2011; Accepted date: December 21, 2011; Published date: January 10, 2012

Citation: Zoumenou E, Mensah E, Dossou F, Kaboro M, Kerekou A, et al. (2012) Prevalence and Complications of Obesity in Surgical Patients: A Multicenter Study in Benin, a Sub-Saharan African Country. Epidemiol 2:109. doi:10.4172/2161-1165.1000109

Copyright: © 2012 Zoumenou E, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Objective: To provide characteristics of an obese population that underwent anesthesia and surgery in a Sub- Saharan African country.

Patients and methods: 3971 Consecutive patients presenting for surgery and anesthesia over a four months period were screened. Obesity was defined as a BMI of at least 30 kg/m2. Obese patients were selected to determine the prevalence of obesity. Obese patients were followed from the intra operative period to at least the first 48 hours postoperatively. We analyzed demographic characteristics, anesthetic techniques and perioperative complications.

Results: BMI ≥ 30 was found in 384 patients. The prevalence of obesity in this population was 9.67%. Prevalence of obesity was higher in women (p < 10-6). The Mean age in obese patients was 41 years ± 15. The mean BMI was 34.77 ± 3.38. Mild obesity was found in 66% patients. Only 4% of obese patients had morbid obesity and there were no super-obese patients. Spinal anesthesia was used in 80% of the patients. Perioperative complications were observed in 67 patients (16%). There were cardiovascular complications (24 cases), respiratory complications (23 cases) or neurological complications (16 cases). Complications occurred more frequently during general anesthesia (26/75) than spinal (41/213). The difference was significant (p < 10-6). The risk of complications increased with increased BMI (p < 10-6).

Conclusion: Obesity is a concern for anesthetists in Benin although severity is less than reported in occidental literature. Main risk factors for perioperative complications are increasing BMI, general anesthesia and obstetrics.

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