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Published on: March 27, 2018
Effect of Body Mass Index on Mortality and Morbidity in Patients Undergoing Coronary Artery Bypass Grafting Surgery
Serkan Akarsu1, İrem İris Kan1, Tolunay Sevingil1
1Department of Cardiovascular Surgery, Uludağ University Faculty of Medicine, Bursa, Turkey.
Insights
Obesity does not increase mortality or adverse outcomes after coronary artery bypass grafting (CABG) surgery. However, it may lead to longer hospital stays and increased costs for CABG operations.
Area of Science:
- Cardiology
- Surgical Outcomes
- Obesity Research
Background:
- Investigating the impact of Body Mass Index (BMI) on patient outcomes after Coronary Artery Bypass Grafting (CABG) surgery.
- Assessing the relationship between obesity and mortality/morbidity in cardiac surgery patients.
Purpose of the Study:
- To determine if higher BMI correlates with increased mortality or morbidity following CABG.
- To analyze the influence of BMI on postoperative complications and overall patient prognosis after CABG.
Main Methods:
- Retrospective analysis of 403 patients undergoing CABG.
- Patients categorized into five groups based on BMI.
- Comparison of demographic, operative, and postoperative data over a six-month follow-up.
Main Results:
- No significant differences in postoperative complications were found across BMI groups.
- Mortality rates were low: 1.48% at 30 days and 1.7% at six months.
- Peripheral artery disease, ejection fraction, and COPD were noted as significant factors, but not directly linked to BMI in relation to complications.
Conclusions:
- Obesity is not associated with increased mortality or adverse outcomes post-CABG.
- Obesity may contribute to prolonged hospital stays and elevated costs for CABG procedures.
- Further research may explore cost-effectiveness and resource utilization in obese patients undergoing CABG.
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.
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