Perioperative medicine & outcomes

Impact of body mass index on surgical case durations in an academic medical center

J Clin AnesthPublished Retrospective cohort study

Authors' conclusion

In an academic hospital, patients with BMI ≥ 30 required more time in the operating room than patients with BMI < 30, when controlling for confounders.

Study context

Population
Adult surgical patients at University of Virginia Health, August 2017–February 2019
Participants
31,548 cases
Exposure
Body mass index (BMI) 30 ≤ BMI < 40 and BMI ≥ 40 vs BMI < 30
Outcome
OR duration (association with patient BMI)
Methodological detailssingle-centre, linear mixed effects models
  • Single-centre
  • Linear mixed effects models

Main finding

As reported in the abstract

Time in the OR

BMI < 30

139.5

mean · SD 111.2

30 ≤ BMI < 40

150.2

mean · SD 115.4

BMI ≥ 40

153.1

mean · SD 111.1

After controlling for within-surgeon correlations and covariates
Each group vs BMI < 30Increase in OR time (95% CI)
30 ≤ BMI < 40
2%(1–3%)
BMI ≥ 40
3%(1–5%)

Observational data: associations, not effects.

Original publication

Impact of body mass index on surgical case durations in an academic medical center. J Clin Anesth. Published 11 July 2023. doi:10.1016/j.jclinane.2023.111198

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