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[Overweight and obesity repercussion in the postoperative of myocardial revascularization surgery]
Nyagra Ribeiro de Araújo1, Raul Amaral de Araújo2, Simone Maria Muniz da Silva Bezerra3
1Universidade Estadual da Paraíba, Recife, PE, Brazil.
Insights
Patients without excess weight after heart surgery had more lung complications, while overweight and obese patients faced cardiovascular risks. Obesity correlated with a worse prognosis in myocardial revascularization surgery outcomes.
Area of Science:
- Cardiovascular Surgery
- Surgical Outcomes
- Obesity Research
Context:
- Retrospective analysis of myocardial revascularization surgery patients.
- Utilized a cross-sectional quantitative approach.
- Data collected between April and June 2012.
Purpose:
- To investigate the relationship between body mass index (BMI) and postoperative complications.
- To compare complication rates across different BMI categories: normal weight, overweight, and obese.
- To assess the prognostic implications of BMI in cardiac surgery patients.
Summary:
- Patients were stratified by BMI into normal weight, overweight, and obese groups.
- Normal weight patients experienced higher rates of pulmonary complications.
- Overweight and obese patients exhibited a higher incidence of cardiovascular complications, with obese individuals showing the poorest prognosis.
Impact:
- Findings suggest BMI influences specific postoperative complication profiles in cardiac surgery.
- Highlights the need for tailored risk assessment and management strategies based on patient BMI.
- Underscores potential differential risks for pulmonary versus cardiovascular complications across BMI spectrums.
Abstract:
This is a descriptive, retrospective study with cross-sectional quantitative approach, which aimed to relate the body mass index with events in the postoperative period of the myocardial revascularization surgery with use of extracorporeal circulation. The data collection period was between April and June/2012. Patients were divided according to the body mass index and classified as without excess of weight, overweight or obese. The data analysis was based on the descriptive statistics. The patients without excess of weight had more complications, especially those related to the lungs. Among overweight and obese individuals, the cardiovascular complications stood out. The obese subjects had the worse prognostic. Obesity and overweight did not have statistically significant association with a higher frequency of postoperative complications, in spite of the occurrence of cardiovascular complications in this group. The patients without excess of weight had higher risks of developing neurological events.
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