Effect of Body Mass Index on Mortality and Morbidity in Patients Undergoing Coronary Artery Bypass Grafting Surgery

2016 ◽  
Vol 19 (5) ◽  
pp. E218-E223 ◽  
Author(s):  
Serkan Akarsu ◽  
Ä°rem Ä°ris Kan ◽  
Tolunay Sevingil ◽  
Mustafa Tok

Background: This study aims to investigate the effect of body mass index (BMI) on mortality and morbidity in patients undergoing coronary artery bypass grafting (CABG) surgery.Methods: We retrospectively evaluated the medical records of 403 patients undergoing coronary artery bypass surgery in our center. The patients were divided into 5 groups according to their BMI values. Preoperative demographic characteristics, operative data, and postoperative complications during the six-month follow-up period were compared between the groups. Results: There were no statistically significant differences between the groups except the coexistence of peripheral artery disease (P = .009), ejection fraction (P = .021) and chronic obstructive pulmonary disease (P = .044). There were no statistically significant differences between the groups in terms of postoperative complications. No relationship was found between postoperative complications and the implemented surgical procedures. An overall 30-day mortality rate of 1.48% was observed, and the six-month mortality rate was 1.7%.Conclusion: According to this study, obesity does not lead to an increased risk of mortality and other adverse outcomes after CABG surgery. However, obesity may prolong hospital stay and increase the cost of CABG operation.

2013 ◽  
Vol 21 (2) ◽  
pp. 176-180 ◽  
Author(s):  
Syed Shahabuddin ◽  
Shazia Perveen ◽  
Shumaila Furnaz ◽  
Saulat Fatimi ◽  
Shahid Sami ◽  
...  

2010 ◽  
Vol 89 (1) ◽  
pp. 30-37 ◽  
Author(s):  
Albert H.M. van Straten ◽  
Sander Bramer ◽  
Mohamed A. Soliman Hamad ◽  
André A.J. van Zundert ◽  
Elisabeth J. Martens ◽  
...  

2019 ◽  
Vol 22 (5) ◽  
pp. E352-E356
Author(s):  
Wenyuan Zhang ◽  
Shibiao Chen ◽  
Xiaojie Liu ◽  
Lijuan Wang ◽  
Sudena Wang ◽  
...  

Background: The association of obesity with postoperative bleeding volume and transfusions after coronary artery bypass grafting (CABG) is not clear. We evaluated the effects of body mass index (BMI) on bleeding volume and transfusions in patients undergoing on-pump CABG. Methods: We investigated 1,050 patients, aged 24 years to 83 years, who underwent isolated, primary CABG with cardiopulmonary bypass (CPB) at Fuwai Hospital, Chinese Academy of Medical Sciences, from September 2017 to July 2018. We recorded preoperative medical and laboratory coagulation parameters, intraoperative data, and postoperative bleeding volume for 24 hours following surgery. Primary endpoint was bleeding volume within 24 hours and transfusions after surgery. We analyzed the correlation between bleeding volume within 24 hours and transfusions after surgery and preoperative data with univariate and multivariate linear regression and logistic regression. Results: Old age significantly increased postoperative transfusions (OR = 1.035 95% CI 1.013-1.058, P = .002), whereas higher BMI (OR = 0.897 95% CI 0.848-0.949, P < .001) and higher hemoglobin (HGB) (OR = 0.966 95% CI 0.954-0.978, P < 0.001) decreased postoperative transfusions. And, BMI independently was correlated with bleeding volume after multivariate regression analysis (B = -0.257, P < .001). Conclusions: Our findings suggest higher BMI may reduce postoperative bleeding volume and transfusion rate, thus such patients may save blood products during on-pump CABG.


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