Impact of Obesity on Intensive Care Unit Resource Utilization After Cardiac Operations

Rosvall, Brandon R.; Forgie, Keir A.; MacLeod, J.B.; Yip, Alexandra M.; Aguiar, Christie; Lutchmedial, Sohrab; Brown, Craig; Forgie, R.; Légaré, France; Hassan, Ansar

doi:10.1016/j.athoracsur.2017.05.047

Cited by 19 publications

(22 citation statements)

References 23 publications

(38 reference statements)

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“…After the initial challenge of completing a surgical repair, rehabilitation required the efforts of many individuals across multiple disciplines. This patient spent a total of 86 days at our facility, including 38 days in the cardiac intensive care unit, consistent with recent findings by Rosvall and colleagues 5 showing significantly greater resource use for obese patients after cardiac surgery. Our commitment to a multidisciplinary, team-based treatment plan was critical in ensuring his successful recovery and eventual hospital discharge.…”

Section: Discussionsupporting

confidence: 89%

Extracorporeal membrane oxygenation before surgical repair of a postinfarction ventricular septal defect

Moran

Dutta

Yan

et al. 2018

The Journal of Thoracic and Cardiovascular Surgery

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Section: Discussionsupporting

confidence: 89%

Extracorporeal membrane oxygenation before surgical repair of a postinfarction ventricular septal defect

Moran

Dutta

Yan

et al. 2018

The Journal of Thoracic and Cardiovascular Surgery

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“…There is emerging evidence that obesity is associated with significantly higher intensive care unit resource utilization [8,9] and that critically ill patients with obesity who also have malnutrition experience worse outcomes than patients with obesity without malnutrition [10]. Emerging data demonstrate that people with obesity may also experience more severe COVID-19 symptoms and may be more likely to need complex intensive care treatment.…”

mentioning

confidence: 99%

European Association for the Study of Obesity Position Statement on the Global COVID-19 Pandemic

et al. 2020

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“…Despite the limitations of BMI as a measure of obesity, it remains an important starting point for patient classification and comparisons given its widespread use and previous work by our group. 36 Patients will be categorised into one of five BMI groups based on WHO definitions of obesity class ( table 3 ). 37 WHO criteria consider any patient with a BMI ≥25 kg/m 2 as overweight, including both pre-obese and obese patients.…”

Section: Methodsmentioning

confidence: 99%

Impact of Obesity on Postoperative Outcomes following cardiac Surgery (The OPOS study): rationale and design of an investigator-initiated prospective study

et al. 2019

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IntroductionIncreasing levels of obesity worldwide have led to a rise in the prevalence of obesity-related complications including cardiovascular risk factors such as diabetes, hypertension and dyslipidaemia. Healthcare providers believe that overweight and obese cardiac surgery patients are more likely to experience adverse postoperative outcomes. The body mass index (BMI) is the primary measure of obesity in clinical practice, without accounting for a patient’s level of cardiopulmonary fitness or muscle mass. The objective of this study is to determine whether fitness capacity of obese cardiac surgical patients and biomarkers, alone or in combination, will help identify patients at risk for adverse outcomes when undergoing cardiac surgery.Methods and analysisPatients between the ages of 18 and 75 years undergoing elective cardiac surgery are consented to participate in this prospective observational study. Patients will be invited to participate in measures of obesity, functional capacity and exercise capacity assessments, quality of life questionnaires, and blood and tissue sampling for biomarker analysis. The endpoints evaluated are measures other than BMI that could be predictive of short-term and long-term postoperative outcomes. Clinical outcomes of interest are prolonged ventilation, hospital length of stay, renal failure and all-cause mortality. Biomarkers of interest will largely focus on metabolism (lipids, amino acids) and inflammation (adipokines, cytokines and chemokines).Ethics and disseminationThis study has been approved by the institutional review board at the Horizon Health Network. On completion of the study, the results shall be disseminated through conference presentations and publications in peer-reviewed journals. Additionally, the report shall also be diffused more broadly to the general public and the cardiovascular community.Trial registration numberNCT03248921.

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Impact of Obesity on Intensive Care Unit Resource Utilization After Cardiac Operations

Cited by 19 publications

References 23 publications

Extracorporeal membrane oxygenation before surgical repair of a postinfarction ventricular septal defect

Extracorporeal membrane oxygenation before surgical repair of a postinfarction ventricular septal defect

European Association for the Study of Obesity Position Statement on the Global COVID-19 Pandemic

Impact of Obesity on Postoperative Outcomes following cardiac Surgery (The OPOS study): rationale and design of an investigator-initiated prospective study

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