TITLE:
Metabolic Syndrome and Perioperative Complications during Scheduled Surgeries with Spinal Anesthesia
AUTHORS:
José Pomares, Gustavo Mora-García, Roberto Palomino, Yéssika De León, Claudio Gómez-Alegría, Doris Gómez-Camargo
KEYWORDS:
Metabolic Syndrome X, Insulin Resistance, Spinal Anesthesia, Abdominal Obesity, Perioperative Period
JOURNAL NAME:
Open Journal of Anesthesiology,
Vol.4 No.7,
July
25,
2014
ABSTRACT: Background:
Metabolic syndrome (MS) is a constellation of factors associated with increased
risk of developing cardiovascular diseases and Diabetes Mellitus. Despite of the
many studies related to MS, little is known about its impact on scenarios such
as surgical anesthesia. Objective: To examine the correlation between
demographic and metabolic variables with the occurrence of perioperative
complications in patients with MS undergoing scheduled surgeries using a spinal
anesthesia technique in the surgery department at the University Clinic San
Juan de Dios in Cartagena de Indias, Colombia. Methods: Observational,
analytical, cross-sectional, single-center study of 150 subjects with MS and
150 control subjects. Perioperative complications, socio-demographic,
hemodynamic and respiratory variables were registered. Groups were compared
using t test, Fisher’s exact test or Chi-square, as appropriate. We applied a
logistic multiple regression model, adjusted by backward stepwise at 0.25 and
forward at 0.05, to find possible incompatible associations. p value surgeries using the
subarachnoid anesthesia technique. Accordingly, it is appropriate to implement health intervention strategies by the surgical team, aiming at their prevention
and management.