Impact of a Higher Body Mass Index on Prolonged Intubation in Patients Undergoing Surgery for Acute Thoracic Aortic Dissection

Li, Yang; Jiang, Hongbin; Xu, Hongjie; Li, Ning; Zhang, Yu; Wang, Guokun; Xu, Zhiyun

doi:10.1016/j.hlc.2020.02.008

Cited by 15 publications

(17 citation statements)

References 24 publications

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“…Thus, we speculate that elderly patients have a greater risk of developing respiratory complications, thereby increasing the risk of PMV. BMI was also an important predictor for PMV, which is consistent with the findings of Li, et al 34) This could be in part due to the challenging anatomy and subsequent longer CPB time in patients with higher BMI, which may evoke a broad range of inflammatory responses, thus leading to more impaired lung function and prolonged intubation time. 35) There are some limitations to this study.…”

Section: Discussionsupporting

confidence: 88%

Admission Hyperglycemia in Acute Type A Aortic Dissection Predicts for a Prolonged Duration of Mechanical Ventilation

Lin

Peng

et al. 2022

Int. Heart J.

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Previous studies have demonstrated that admission hyperglycemia is a predictor of mortality and poor prognosis in patients with cardiovascular diseases, such as acute myocardial infarction. However, the prognostic value of admission hyperglycemia in patients with acute type A aortic dissection (AAAD) has never been explored. To clarify the association between hyperglycemia and in-hospital outcomes, we retrospectively analyzed 734 patients with AAAD. The interest endpoints were in-hospital mortality rate, the duration of intensive care unit and hospital stays, the occurrence of prolonged mechanical ventilation (PMV), and other complications. All patients were divided into the normal blood glucose group (!140 mg/dL) and hyperglycemia group (> 140 mg/ dL), to compare the in-hospital outcomes rate in the two groups. There were 531 (72.3%) patients with normal blood glucose levels and 203 (27.7%) patients with hyperglycemia. The in-hospital mortality rate was 21.1%, and no statistically significant differences were found between the two groups (20.3% versus 23.2%, P = 0.403). PMV is the most frequent postoperative complication, the incidence of which was significantly higher in the hyperglycemia group than in the normal blood glucose group (59.6% versus 50.8%, P = 0.040). The logistic regression analysis revealed that hyperglycemia (odds ratio (OR): 1.492; 95% CI: 1.014 to 2.197; P = 0.042) was an independent risk factor for PMV after adjusting for confounding factors. Age (OR: 1.021; 95% CI: 1.006-1.037; P = 0.007) and body mass index (OR: 1.101; 95% CI: 1.051-1.153; P < 0.001) were also associated with PMV. In conclusion, our study showed for the first time that a strong correlation between admission hyperglycemia and increased postoperative PMV in patients with AAAD, but not with in-hospital mortality rate.

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Section: Discussionsupporting

confidence: 88%

Admission Hyperglycemia in Acute Type A Aortic Dissection Predicts for a Prolonged Duration of Mechanical Ventilation

Lin

Peng

et al. 2022

Int. Heart J.

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“…On the other hand, the use of nutritional support therapy during hospitalization is key to strengthening the patients. Li et al [71] found that BMI had no effect on in-hospital mortality but may be closely correlated with prolonged intubation for patients. Xu et al [72] indicated that nutritional and gastrointestinal function should be assessed for all patients.…”

Section: Discussionmentioning

confidence: 99%

Body Mass Index (BMI) and Coronavirus Disease 2019 (COVID-19): A Living Systematic Review

Castillo¹,

González²,

Soler³

et al. 2020

Preprint

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On March 11, 2020, coronavirus disease 2019 (COVID-19) was declared a pandemic by the World Health Organization (WHO). This review focuses on where the body mass index (BMI) value can be used as a tool to evaluate the risk of development and/or aggravation of this disease. Databases were used to search studies published up to April 18, 2020. In total, 4285 articles and other scientific literature were found, and twelve articles were included in this systematic review. The mean BMI value of severe COVID-19 patients ranged from 24.5 to 33.4 kg/m2, versus 22.0 to 24.3 kg/m2 for non-severe patients Articles using the terms obesity or overweight, without indicating the BMI value, in these patients were common, but this is not useful as the nutritional status, when not defined by this index, is confusing due to the classification being different in the West compared to among,, Asian and Korean criteria-based adults. Furthermore, the use of BMI is important during this pandemic, as it should be applied to nutritional support therapy during hospitalization of infected patients, as well as being considered in the home confinement population.

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“…On the other hand, the use of nutritional support therapy during hospitalization is key in strengthening the patients. Li et al [ 81 ] found that BMI had no effect on in-hospital mortality, but may be closely correlated with prolonged intubation for patients. Xu et al [ 82 ] indicated that nutritional and gastrointestinal function should be assessed for all patients.…”

Section: Discussionmentioning

confidence: 99%

COVID Obesity: A One-Year Narrative Review

et al. 2021

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On 11 March 2020, coronavirus disease 2019 (COVID-19) was declared a pandemic by the World Health Organization (WHO). This study focuses on a narrative review about the illness during the first year of the pandemic in relation to obesity. Databases were used to search studies published up to 8 December 2020. In total, 4430 articles and other scientific literature were found, and 24 articles were included in this one-year narrative review. The mean BMI value of severe COVID-19 patients ranged from 24.5 to 33.4 kg/m2, versus <18.5 to 24.3 kg/m2 for non-severe patients. Articles using the terms obesity or overweight without indicating the BMI value in these patients were common, but this is not useful, as the anthropometric parameters, when not defined by this index, are confusing due to the classification being different in the West compared to among Asian and Korean criteria-based adults. We proposed a new term, called COVID obesity, to define the importance of this anthropometric parameter, among others, in relation with this pandemic.

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Impact of a Higher Body Mass Index on Prolonged Intubation in Patients Undergoing Surgery for Acute Thoracic Aortic Dissection

Cited by 15 publications

References 24 publications

Admission Hyperglycemia in Acute Type A Aortic Dissection Predicts for a Prolonged Duration of Mechanical Ventilation

Admission Hyperglycemia in Acute Type A Aortic Dissection Predicts for a Prolonged Duration of Mechanical Ventilation

Body Mass Index (BMI) and Coronavirus Disease 2019 (COVID-19): A Living Systematic Review

COVID Obesity: A One-Year Narrative Review

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