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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Effect of body mass index on early clinical outcomes after cardiac surgery
Asian Cardiovascular and Thoracic Annals, Volume 22, No. 6, Year 2014
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Description
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. © 2013 The Author(s).
Authors & Co-Authors
Allama, Amr Mohammad
Egypt, Shibin el Kom
Menoufia University Faculty of Medicine
Saudi Arabia, Madinah
Taibah University
Ibrahim, Islam Moheb
Egypt, Shibin el Kom
Menoufia University Faculty of Medicine
Abdallah, Ayat Roushdy
Egypt, Shibin el Kom
Menoufia University Faculty of Medicine
Ashraf, Saeed
United Kingdom, Swansea
Morriston Hospital
Youhana, Aprim
United Kingdom, Swansea
Morriston Hospital
Kumar, Pankaj
United Kingdom, Swansea
Morriston Hospital
Bhatti, Farah
United Kingdom, Swansea
Morriston Hospital
Zaidi, Afzal
United Kingdom, Swansea
Morriston Hospital
Statistics
Citations: 20
Authors: 8
Affiliations: 3
Identifiers
Doi:
10.1177/0218492313504092
ISSN:
02184923
Research Areas
Health System And Policy
Noncommunicable Diseases
Study Design
Cohort Study