Appendix, Gallbladder and Surgical Emergencies · 10 April 2026

BMI Influences Postoperative Outcomes in Sepsis Surgeries

Older adults with sepsis undergoing emergency laparotomy show varied outcomes based on BMI, affecting surgical decision-making.

30-day mortality in this group is 31.6%.
Obesity class II is linked to lower 30-day mortality (adjusted odds ratio 0.55) but increases risks of ventilator dependence >48 hours (1.48) and deep vein thrombosis (2.00).
Obesity class III is tied to significantly higher rates of pulmonary embolism (5.55) and non-home discharge (3.31).

Consider obesity classifications when evaluating surgical risks to improve patient selection and inform postoperative care strategies.

Journal Article by Karikis I, Jachimiak JF (…) Hwabejire JO et 8 al. in BMC Surg

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