Impact of metabolic syndrome in surgical patients: should we bother?

Abstract:

:Clinicians inevitably encounter patients who meet the diagnostic criteria for the metabolic syndrome (MetS); these criteria include central obesity, hypertension, atherogenic dyslipidaemia, and hyperglycaemia. Regardless of the variations in its definition, MetS may be associated with adverse outcomes in patients undergoing both cardiac and non-cardiac surgery. There is a paucity of data concerning the anaesthetic management of patients with MetS, and only a few observational (mainly retrospective) studies have investigated the association of MetS with perioperative outcomes. In this narrative review, we consider the impact of MetS on the occurrence of perioperative adverse events after cardiac and non-cardiac surgery. Metabolic syndrome has been associated with higher rates of cardiovascular, pulmonary, and renal perioperative events and wound infections compared with patients with a non-MetS profile. Metabolic syndrome has also been related to increased health service costs, prolonged hospital stay, and a greater need for posthospitalization care. Therefore, physicians should be able to recognize the MetS in the perioperative period in order to formulate management strategies that may modify any perianaesthetic and surgical risk. However, further research is needed in this field.

journal_name

Br J Anaesth

authors

Tzimas P,Petrou A,Laou E,Milionis H,Mikhailidis DP,Papadopoulos G

doi

10.1093/bja/aev199

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

194-202

issue

2

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)31192-3

journal_volume

115

pub_type

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