Overweight And Obesity Repercussion In The Postoperative Of Myocardial Revascularization Surgery

Abstract

RESUMENEstudio descriptivo, transversal y retrospectivo de abordaje cuantitativo, cuyo objetivo fue relacionar el Índice de Masa Corporal (IMC) a los eventos ocurridos en el postoperatorio de la cirugía de revascularización miocárdica. La recolección de datos se realizó entre abril y junio del 2012. Los participantes fueron divididos según su IMC en tres grupos: aquellos con estado nutricional normal, con sobrepeso y obesos. El análisis de datos se basó en la estadística descriptiva. Se encontró que los participantes eutróficos tuvieron más complicaciones, especialmente pulmonares. Ente los individuos con sobrepeso y obesidad destacaron las complicaciones cardiovasculares, teniendo los sujetos con obesidad peor pronóstico. Se concluyó que no existe asociación estadísticamente significativa entre la obesidad y el sobrepeso con la mayor frecuencia de complicaciones postoperatorias a pesar de la ocurrencia de complicaciones cardiovasculares en esos grupos. El conocimiento de esas posibles complicaciones posibilita la planificación adecuada de los cuidados de enfermería a partir de la práctica basada en la evidencia. DESCRIPTORES ABSTRACTThis is a descriptive, retrospective study with cross-sectional quantitative approach, which aimed to relate the body mass index with events in the postoperative period of the myocardial revascularization surgery with use of extracorporeal circulation. The data collection period was between April and June/2012. Patients were divided according to the body mass index and classified as without excess of weight, overweight or obese. The data analysis was based on the descriptive statistics. The patients without excess of weight had more complications, especially those related to the lungs. Among overweight and obese individuals, the cardiovascular complications stood out. The obese subjects had the worse prognostic. Obesity and overweight did not have statistically significant association with a higher frequency of postoperative complications, in spite of the occurrence of cardiovascular complications in this group. The patients without excess of weight had higher risks of developing neurological events.

Complicaciones Postoperatorias De La Cirugía Cardíaca en Pacientes Adultos: Revisión Del Alcance

“…O Quadro 2 apresenta as principais complicações identificadas no pós-operatório que acometeram os pacientes que realizaram as cirurgias cardíacas, com destaque para infecções respiratórias e pneumonia, acidente vascular encefálico, sangramentos, insuficiência renal e derrame pleural. A6 (22) 2014, Brasil 2060 Masculino: 1298 (63,00%) Coorte retrospectiva / 3C A7 (23) 2014, Brasil 4626 Masculino: 2933 (63,40%) Coorte retrospectiva / 3C A8 (24) 2014, Brasil 124 Masculino: 76 (61,29%) Transversal / 4B A9 (25) 2013, Brasil 2628 Masculino: 1836 (69,86%) Coorte bidirecional / 3C A10 (26) 2013, Brasil 94 Masculino: 54 (57,44%) Observacional / 3E A11 (27) 2013, Brasil 43 Masculino: 31 (72,09%) Coorte retrospectiva / 3C A12 (28) 2011, Brasil 211 Masculino: 126 (59,71%) Transversal / 4B A13 (29) 2010, Argentina 165 Masculino: 130 (78,78%) Observacional / 3E A14 (30) 2010, Brasil 85 Masculino: 52 (61,18%) Observacional / 3E A15 (31) 2010, Brasil 1038 Masculino: 706 (68,01%) Observacional / 3E A16 (32) 2009, EEUU 1163 Masculino: 826 (71,02%) Revisão sistemática de ensaios clín. random./ 1A A17 (33) 2000, Brasil 23 Masculino: 15 (65,22%) Observacional / 3E D1 (34) 2018, Brasil 118 Masculino: 77 (65,25%) Coorte retrospectiva / 3C D2 (35) 2012, Brasil 173 Masculino: 103 (59,54%) Observacional / 3E T1 (36) 2017, Brasil 725 Feminino: 393 (54,20%) Transversal / 4B T2 (37) 2017, Brasil 108 Feminino: 67 (62,04%) Ensaio clínico randomizado / 1C *n: amostra; **NE: nível de evidência.…”

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

“…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 …”

Self-care agency and quality of life in the preoperative period of coronary artery bypass graft surgery

“…The sample for this study was calculated by equation for the proportion of finite population studies, considering a previous study on this research site (11) . Participants were enrolled by nonrandom, intentional sampling (9)(10) and composed a 62-individual sample.…”

“…The study sample included individuals of both sexes who would submit to CABG for the first time as an elective surgery, between 50 and 70 years of age -the predominant age range for the researched population (11) . Individuals who had neurological or muscular damage, were undergoing psychotropic medical treatment, and had communication difficulties or inabilities were excluded from this study.…”

“…Data collection occurred between March and August 2013 and was individually undertaken in a private environment through interviews, due to low schooling among the researched population (11) . Three questionnaires were used for data collection, and addressed: (1) socio-demographic and clinical information related to BCF; (2) HRQoL -Medical Outcomes 36 Item Short Form Health Survey (SF-36); (3) SCA -Appraisal of Self-Care Agency scale (ASA-scale).…”