Clinical Outcomes of Postmenopausal Obese Women Admitted to the Intensive Care Unit After Thoracic Surgery

Introduction: Obese postmenopausal women undergoing thoracic surgery represent a high‑risk population due to the combined effects of hormonal deprivation, metabolic dysfunction, and reduced cardiopulmonary reserve. These factors significantly increase postoperative complications, ICU admission rates, and mortality, underscoring the need for tailored perioperative and critical care strategies in this vulnerable group.Material and methods: This retrospective cross sectional study reviewed medical records of postmenopausal women admitted to the intensive care units of Imam Reza Hospital over a five year period. Clinical, demographic, and outcome data were collected using predefined criteria, and statistical analyses were performed with SPSS to evaluate associations between obesity, ICU outcomes, and mortality.Results: Obese postmenopausal women admitted to the ICU after thoracic surgery exhibited significantly worse clinical outcomes compared with non obese patients. Obesity was associated with higher disease severity, increased need for mechanical ventilation and vasopressor support, longer ICU and hospital stays, and elevated ICU and ۲۸ day mortality rates. These findings highlight obesity as a major determinant of postoperative morbidity and short term mortality in critically ill postmenopausal women.Conclusion: In conclusion, our study demonstrates that obesity markedly deteriorates short term clinical outcomes among postmenopausal women admitted to the ICU following thoracic surgery. The data reveal higher disease severity, prolonged intensive care utilization, increased organ failure, and substantially greater mortality rates compared with non obese patients.

کلیدواژه ها:

ICU ، Obesity ، Post menopause ، mortality