The Effect of Body Mass Index on Complications from Cardiac Surgery in the Oldest Old

Maurer, Mathew S.; Luchsinger, José A.; Wellner, Rachel; Kukuy, Eugene; Edwards, Niloo M.

doi:10.1046/j.1532-5415.2002.50251.x

Cited by 35 publications

(17 citation statements)

References 28 publications

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“…A high risk of surgery-related perioperative complications in obese patients has been reported in studies performed for several surgical subspecialties [4][5][6]. But in patients undergoing coronary artery bypass surgery, a low body mass index (BMI) is associated with an increased risk of perioperative complications and the only increased risk in old patients with a high BMI was sternal wound infection [7][8][9]. Blee et al [10] also reported that obesity was not associated with postoperative mortality or morbidity in patients undergoing colorectal surgery.…”

Section: Introductionmentioning

confidence: 99%

Body fat accumulation and postoperative morbidity in colorectal-cancer surgery

et al. 2005

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Section: Introductionmentioning

confidence: 99%

Body fat accumulation and postoperative morbidity in colorectal-cancer surgery

et al. 2005

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“…However, the relationship between BMI and its effect on postoperative CABG is controversial: some studies found no significance between high BMI and mortality [13][14][15][16]; others have shown a positive correlation between obesity and postoperative complications [17][18][19]. Gurm et al [20] found a short-term protective effect of obesity in patients who had undergone CABG.…”

Section: Introductionmentioning

confidence: 99%

O efeito do índice de massa corporal sobre as complicações no pós-operatório de cirurgia de revascularização do miocárdio em idosos

Reis

Barbiero²,

Ribas³

2008

Rev Bras Cir Cardiovasc

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O efeito do índice de massa corporal sobre as complicações no pós-operatório de cirurgia de revascularização do miocárdio em idososThe effect of the body mass index on postoperative complications of coronary artery bypass grafting in elderly Abstract Objectives: To evaluate the effect of BMI (body mass index) in the postoperative period of elderly patients undergoing CABG.Methods: Cross-sectional retrospective study, carried out in academic hospital, with all patients (n=290), aged or above 60 years, undergone CABG, from August 2006 to July 2007. The patients were divided into tertiles of BMI (<22, 22-27,> 27kg /m²). The variables included in the study were collected from medical records of patients and analyzed by logistic regression in association with the categories of BMI.Results: In the group with malnutrition were found larger percentage of impaired lung, kidney, hospital stay and immediate surgical mortality; but without statistical significance. Among female patients, the group malnutrition and eutrophy, 61.5% had hospital stay for a period longer than seven postoperative days compared to 42.5% male patients (p=0.003). In the group with malnutrition was found association between the CPB time and renal dysfunction with p<0.001 and, in eutrophic group with p=0.04. Obesity obtained protective association for lung dysfunction (RR=0.99), readmissions (RR=0.45) and mortality (RR = 0.77), and risk factor for renal dysfunction (RR=1.12). Conclusions 525REIS, C ET AL -The effect of the body mass index on postoperative complications of coronary artery bypass grafting in elderly Bras Cir Cardiovasc 2008; 23(4): 524-529 Rev

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“…Obesity is thought to be a risk factor for perioperative morbidity in patients undergoing cardiac surgery, however, data from cohort of subjects with an average age of 62 years has shown that, with the exception of sternal wound infection, obesity does not predispose to postoperative complications after CABG 23 .…”

Section: Discussionmentioning

confidence: 96%