Amr Allama1, Islam Ibrahim2, Ayat Abdallah3, Saeed Ashraf4, Aprim Youhana4, Pankaj Kumar4, Farah Bhatti4, Afzal Zaidi4. 1. Department of Cardiothoracic Surgery, Faculty of Medicine, Menoufia University, Egypt Department of Cardiothoracic Surgery, Faculty of Medicine, Taibah University, Kingdom of Saudi Arabia amrallama2005@yahoo.com. 2. Department of Cardiothoracic Surgery, Faculty of Medicine, Menoufia University, Egypt. 3. Department of Public Health and Community Medicine, National Liver Institute, Menoufia University, Egypt. 4. Department of Cardiac Surgery, Morriston Hospital, Swansea, UK.
Abstract
BACKGROUND: there are several reports on the outcomes of cardiac surgery in relation to body mass index. Some concluded that obesity did not increase morbidity or mortality after cardiac surgery, whereas others demonstrated that obesity was a predictor of both morbidity and mortality. METHODS: this was a retrospective study of 3370 adult patients undergoing cardiac surgery. The patients were divided into 4 groups according to body mass index. The 4 groups were compared in terms of preoperative, operative, and postoperative characteristics. RESULTS: obese patients had a significantly younger mean age. Diabetes, hypertension, and hyperlipidemia were significantly more common in obese patients. The crossclamp time was significantly longer in the underweight group. Reoperation for bleeding, and pulmonary, gastrointestinal, and renal complications were significantly more common in the underweight group. Wound complications were significantly more frequent in the obese group. Mortality was inversely proportional to body mass index. The adjusted odds ratios of the early clinical outcomes demonstrated a higher risk of wound complications in overweight and obese patients CONCLUSION: body mass index has no effect on early clinical outcomes after cardiac surgery, except for a higher risk of wound complications in overweight and obese patients.
BACKGROUND: there are several reports on the outcomes of cardiac surgery in relation to body mass index. Some concluded that obesity did not increase morbidity or mortality after cardiac surgery, whereas others demonstrated that obesity was a predictor of both morbidity and mortality. METHODS: this was a retrospective study of 3370 adult patients undergoing cardiac surgery. The patients were divided into 4 groups according to body mass index. The 4 groups were compared in terms of preoperative, operative, and postoperative characteristics. RESULTS:obesepatients had a significantly younger mean age. Diabetes, hypertension, and hyperlipidemia were significantly more common in obesepatients. The crossclamp time was significantly longer in the underweight group. Reoperation for bleeding, and pulmonary, gastrointestinal, and renal complications were significantly more common in the underweight group. Wound complications were significantly more frequent in the obese group. Mortality was inversely proportional to body mass index. The adjusted odds ratios of the early clinical outcomes demonstrated a higher risk of wound complications in overweight and obesepatients CONCLUSION: body mass index has no effect on early clinical outcomes after cardiac surgery, except for a higher risk of wound complications in overweight and obesepatients.
Authors: Carey Yun Shan Lim; Joel Kian Boon Lim; Rajesh Babu Moorakonda; Chengsi Ong; Yee Hui Mok; John Carson Allen; Judith Ju-Ming Wong; Teng Hong Tan; Jan Hau Lee Journal: Front Pediatr Date: 2019-10-23 Impact factor: 3.418