Impact of body mass index on outcome in patients undergoing coronary artery bypass grafting and/or valve replacement surgery
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Cardiovascular Surgery (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382015000300009 |
Resumo: | AbstractObjective:This study aimed to analyze the impact of body mass index on outcomes of 101 patients undergoing coronary artery bypass grafting, valve replacement, or combined valve/ coronary artery bypass grafting surgery in a private hospital in Belo Horizonte, Brazil.Methods:This was a prospective cross-sectional study of patients undergoing cardiac surgery from May 2009 to December 2012. All patients were followed up from the first day of admission until discharge or death. Patients were divided into three groups according to BMI: normal weight, overweight, and obese. The main outcome measure was the association between BMI and postoperative morbidities and mortality.Results:Multivariate analysis identified obesity as an independent predictor of increased risk of surgical reintervention (odds ratio [OR] 13.6; 95%CI 1.1 - 162.9; P=0.046) and reduced risk of bleeding (OR 0.05; 95% CI 0.09 - 0.69; P=0.025). Univariate analysis showed that obesity was associated with increased frequency of wound dehiscence (P=0.021). There was no association between BMI and other complications or mortality in univariate analysis. There was also no association between body mass index and duration of cardiopulmonary bypass, aortic clamping, mechanical ventilation, and intensive care unit or hospital stay.Conclusion:Obese individuals undergoing coronary artery bypass grafting, valve replacement, or combined surgery have a higher postoperative risk of surgical reintervention and lower chances of bleeding. |
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Brazilian Journal of Cardiovascular Surgery (Online) |
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Impact of body mass index on outcome in patients undergoing coronary artery bypass grafting and/or valve replacement surgeryBody mass indexObesityThoracic surgeryMyocardial revascularizationMitral valve prolapseAbstractObjective:This study aimed to analyze the impact of body mass index on outcomes of 101 patients undergoing coronary artery bypass grafting, valve replacement, or combined valve/ coronary artery bypass grafting surgery in a private hospital in Belo Horizonte, Brazil.Methods:This was a prospective cross-sectional study of patients undergoing cardiac surgery from May 2009 to December 2012. All patients were followed up from the first day of admission until discharge or death. Patients were divided into three groups according to BMI: normal weight, overweight, and obese. The main outcome measure was the association between BMI and postoperative morbidities and mortality.Results:Multivariate analysis identified obesity as an independent predictor of increased risk of surgical reintervention (odds ratio [OR] 13.6; 95%CI 1.1 - 162.9; P=0.046) and reduced risk of bleeding (OR 0.05; 95% CI 0.09 - 0.69; P=0.025). Univariate analysis showed that obesity was associated with increased frequency of wound dehiscence (P=0.021). There was no association between BMI and other complications or mortality in univariate analysis. There was also no association between body mass index and duration of cardiopulmonary bypass, aortic clamping, mechanical ventilation, and intensive care unit or hospital stay.Conclusion:Obese individuals undergoing coronary artery bypass grafting, valve replacement, or combined surgery have a higher postoperative risk of surgical reintervention and lower chances of bleeding.Sociedade Brasileira de Cirurgia Cardiovascular2015-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382015000300009Brazilian Journal of Cardiovascular Surgery v.30 n.3 2015reponame:Brazilian Journal of Cardiovascular Surgery (Online)instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)instacron:SBCCV10.5935/1678-9741.20150027info:eu-repo/semantics/openAccessCosta,Vinícius Eduardo AraújoFerolla,Silvia MarinhoReis,Tâmara Oliveira dosRabello,Renato RochaRocha,Eduardo Augusto VictorCouto,Célia Maria FerreiraCouto,José Carlos FerreiraBento,Alduireng2015-10-14T00:00:00Zoai:scielo:S0102-76382015000300009Revistahttp://www.rbccv.org.br/https://old.scielo.br/oai/scielo-oai.php||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br1678-97410102-7638opendoar:2015-10-14T00:00Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)false |
dc.title.none.fl_str_mv |
Impact of body mass index on outcome in patients undergoing coronary artery bypass grafting and/or valve replacement surgery |
title |
Impact of body mass index on outcome in patients undergoing coronary artery bypass grafting and/or valve replacement surgery |
spellingShingle |
Impact of body mass index on outcome in patients undergoing coronary artery bypass grafting and/or valve replacement surgery Costa,Vinícius Eduardo Araújo Body mass index Obesity Thoracic surgery Myocardial revascularization Mitral valve prolapse |
title_short |
Impact of body mass index on outcome in patients undergoing coronary artery bypass grafting and/or valve replacement surgery |
title_full |
Impact of body mass index on outcome in patients undergoing coronary artery bypass grafting and/or valve replacement surgery |
title_fullStr |
Impact of body mass index on outcome in patients undergoing coronary artery bypass grafting and/or valve replacement surgery |
title_full_unstemmed |
Impact of body mass index on outcome in patients undergoing coronary artery bypass grafting and/or valve replacement surgery |
title_sort |
Impact of body mass index on outcome in patients undergoing coronary artery bypass grafting and/or valve replacement surgery |
author |
Costa,Vinícius Eduardo Araújo |
author_facet |
Costa,Vinícius Eduardo Araújo Ferolla,Silvia Marinho Reis,Tâmara Oliveira dos Rabello,Renato Rocha Rocha,Eduardo Augusto Victor Couto,Célia Maria Ferreira Couto,José Carlos Ferreira Bento,Alduir |
author_role |
author |
author2 |
Ferolla,Silvia Marinho Reis,Tâmara Oliveira dos Rabello,Renato Rocha Rocha,Eduardo Augusto Victor Couto,Célia Maria Ferreira Couto,José Carlos Ferreira Bento,Alduir |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Costa,Vinícius Eduardo Araújo Ferolla,Silvia Marinho Reis,Tâmara Oliveira dos Rabello,Renato Rocha Rocha,Eduardo Augusto Victor Couto,Célia Maria Ferreira Couto,José Carlos Ferreira Bento,Alduir |
dc.subject.por.fl_str_mv |
Body mass index Obesity Thoracic surgery Myocardial revascularization Mitral valve prolapse |
topic |
Body mass index Obesity Thoracic surgery Myocardial revascularization Mitral valve prolapse |
description |
AbstractObjective:This study aimed to analyze the impact of body mass index on outcomes of 101 patients undergoing coronary artery bypass grafting, valve replacement, or combined valve/ coronary artery bypass grafting surgery in a private hospital in Belo Horizonte, Brazil.Methods:This was a prospective cross-sectional study of patients undergoing cardiac surgery from May 2009 to December 2012. All patients were followed up from the first day of admission until discharge or death. Patients were divided into three groups according to BMI: normal weight, overweight, and obese. The main outcome measure was the association between BMI and postoperative morbidities and mortality.Results:Multivariate analysis identified obesity as an independent predictor of increased risk of surgical reintervention (odds ratio [OR] 13.6; 95%CI 1.1 - 162.9; P=0.046) and reduced risk of bleeding (OR 0.05; 95% CI 0.09 - 0.69; P=0.025). Univariate analysis showed that obesity was associated with increased frequency of wound dehiscence (P=0.021). There was no association between BMI and other complications or mortality in univariate analysis. There was also no association between body mass index and duration of cardiopulmonary bypass, aortic clamping, mechanical ventilation, and intensive care unit or hospital stay.Conclusion:Obese individuals undergoing coronary artery bypass grafting, valve replacement, or combined surgery have a higher postoperative risk of surgical reintervention and lower chances of bleeding. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382015000300009 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382015000300009 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.5935/1678-9741.20150027 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Cirurgia Cardiovascular |
publisher.none.fl_str_mv |
Sociedade Brasileira de Cirurgia Cardiovascular |
dc.source.none.fl_str_mv |
Brazilian Journal of Cardiovascular Surgery v.30 n.3 2015 reponame:Brazilian Journal of Cardiovascular Surgery (Online) instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) instacron:SBCCV |
instname_str |
Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) |
instacron_str |
SBCCV |
institution |
SBCCV |
reponame_str |
Brazilian Journal of Cardiovascular Surgery (Online) |
collection |
Brazilian Journal of Cardiovascular Surgery (Online) |
repository.name.fl_str_mv |
Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) |
repository.mail.fl_str_mv |
||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br |
_version_ |
1752126598966935552 |