Effects of body mass index on the early surgical outcomes after coronary artery bypass grafting

Bagheri, Amin

doi:10.5606/tgkdc.dergisi.2014.8680

Cited by 3 publications

(3 citation statements)

References 34 publications

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“…Concerning the relationship between pulmonary function and the MS, it was shown that male adults with the MS had decreased vital capacity. 24 Bagheri et al 25 indicated that BMI was not a predictor of mortality after CABG, but pulmonary complications were independent predictors of mortality in the postoperative period.…”

Section: Discussionmentioning

confidence: 99%

The effects of the metabolic syndrome on coronary artery bypass grafting surgery

Özkan¹,

Özdemir²,

Uğur³

et al. 2017

CVJA

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SummaryBackgroundThe metabolic syndrome (MS) is a clustering of factors that are associated with increased cardiovascular risk. A low-grade inflammatory process acts as the underlying pathophysiology, which suggests that the MS may have a detrimental effect on coronary interventions, including coronary artery bypass grafting (CABG) surgery performed with cardiopulmonary bypass (CPB). We aimed to evaluate the effect of the MS on morbidity and mortality rates in the early postoperative period in patients undergoing CABG.MethodsWe prospectively included 152 patients (109 males and 43 females; mean age 60.1 ± 8.6 years) who underwent elective CABG on CPB between January and September 2011. Early postoperative morbidity and mortality rates were compared between subjects with and without the MS. Diagnosis of the MS was based on the American National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) criteria.ResultsOf the study group, 64 patients (42%) had the MS. The two groups were similar in age and gender. In the postoperative period, rates of atrial fibrillation, wound infection, pulmonary complications, and lengths of intubation, hospitalisation and intensive care unit stay were significantly higher in MS patients (p < 0.01). The MS was significantly associated with wound infection (OR 6.64, 95% CI: 1.72–25.75), pulmonary complications (OR 6.44, 95% CI: 1.58–26.33), arrhythmia (OR 5.47, 95% CI: 1.50–19.97) and prolonged intubation (OR 1.17, 95% CI: 1.05–1.32). The mortality rate was 3.1% in the MS group and 1.1% in the non-MS group, with no significant difference (p > 0.05).ConclusionThe MS was associated with a higher rate of early postoperative morbidity following CABG, without having a significant effect on the mortality rate.

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Section: Discussionmentioning

confidence: 99%

The effects of the metabolic syndrome on coronary artery bypass grafting surgery

Özkan¹,

Özdemir²,

Uğur³

et al. 2017

CVJA

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“…CAD risk factors such as obesity, stress, urban life, sedentary lifestyle, and gender have also been found to be important factors affecting the recovery symptoms of CABG patients. [ 20 ] Perrotta et al ,[ 21 ] Wagner et al ,[ 22 ] and Bagheri et al ,[ 23 ] in their study results, suggested that BMI is an independent predictor of post-CABG complications and longer hospitalization, but is not associated with an increased, early, or long-term mortality. CAD risk factors were found to be similar in the patients of intervention and control groups.…”

Section: Discussionmentioning

confidence: 90%

The effects of discharge training and counseling on post-discharge problems in patients undergoing coronary artery bypass graft surgery

Akbari¹,

Çelik²

2015

Iranian J Nursing Midwifery Res

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Background:Advances in coronary artery surgery have reduced morbidity, mortality, and rates of graft occlusion. Discharge programs are important services for the continuity of treatment and must encompass physical, psychological, and social aspects of individual patient care. This study aimed at investigating the effect of planned discharge training and counseling on the problems experienced by patients undergoing coronary artery bypass graft (CABG) surgery.Materials and Methods:A semi-experimental study was performed on 100 patients undergoing CABG surgery in the surgery department. During a period of 9 months from January to September 2013, the patients in the intervention group were provided with adequate discharge training and counseling with a booklet before surgery and counseling until 6 weeks after discharge, while the control group patients received only routine clinical procedures, i.e. prescribing medicine, controlling vital signs, and wound dressing. The data were analyzed using Statistical Package for the Social Sciences (SPSS) 23. Frequency and distribution were used to describe the data, and paired sample t-test, variance analysis, Fisher's exact test, and Chi-squared tests were also used.Results:The reported problems for both groups had a descending pattern during the three follow-ups. However, this pattern had a greater slope in the intervention group compared to the control one. As a result of these education programs, problems were fewer in the intervention group than in the control group (P < 0.05).Conclusions:Discharge training and counseling given to the intervention group had a positive impact on decreasing the problems that the patients had. Therefore, the institutions may be recommended to support multidisciplinary patient training and counseling activities using the methods described in this study.

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“…In addition, we also identified one unduplicated article from the reference search. In total, 72 studies that examined the impact of adiposity on readmission and all‐cause mortality following CABG were included in the review …”

Section: Resultsmentioning

confidence: 99%

Adiposity in relation to readmission and all‐cause mortality following coronary artery bypass grafting: A systematic review and meta‐analysis

et al. 2019

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Summary This study systemically reviewed evidence linking adiposity to readmission and all‐cause mortality in post‐coronary artery bypass grafting (CABG) patients. Keyword/reference search was performed in PubMed, Web of Science, CINAHL, and Cochrane Library for articles published before June, 2018. Eligibility criteria included study designs: experimental/observational studies; subjects: adult patients undergoing CABG; and outcomes: hospital/clinic readmissions, and short‐term (≤30 days) and mid‐to‐long‐term (>30 days) all‐cause mortality. Seventy‐two studies were identified. Meta‐analysis showed that the odds of post‐CABG readmission among patients with overweight was 30% lower than their normal‐weight counterparts and the odds of mid‐to‐long‐term post‐CABG mortality among patients with overweight were 20% lower than their normal‐weight counterparts. In contrast, no difference in post‐CABG readmission rate was found between patients with obesity and their nonobese counterparts; no difference in short‐term or in‐hospital post‐CABG mortality rate was found between patients with overweight or obesity and their normal‐weight counterparts; and no difference in mid‐to‐long‐term post‐CABG mortality rate was found between patients with obesity and their normal‐weight counterparts. In conclusion, patients with overweight but not obesity had a lower readmission and mid‐to‐long‐term mortality rate following CABG relative to their normal‐weight counterparts. Preoperative weight loss may not be advised to patients with overweight undergoing CABG.

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Effects of body mass index on the early surgical outcomes after coronary artery bypass grafting

Cited by 3 publications

References 34 publications

The effects of the metabolic syndrome on coronary artery bypass grafting surgery

The effects of the metabolic syndrome on coronary artery bypass grafting surgery

The effects of discharge training and counseling on post-discharge problems in patients undergoing coronary artery bypass graft surgery

Adiposity in relation to readmission and all‐cause mortality following coronary artery bypass grafting: A systematic review and meta‐analysis

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