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Titolo:
Severe obesity does not adversely affect perioperative mortality and morbidity in coronary artery bypass surgery
Autore:
Brandt, M; Harder, K; Walluscheck, KP; Schottler, J; Rahimi, A; Moller, F; Cremer, J;
Indirizzi:
Univ Hosp Kiel, Dept Cardiovasc Surg, D-24105 Kiel, Germany Univ Hosp Kiel Kiel Germany D-24105 rdiovasc Surg, D-24105 Kiel, Germany
Titolo Testata:
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
fascicolo: 5, volume: 19, anno: 2001,
pagine: 662 - 666
SICI:
1010-7940(200105)19:5<662:SODNAA>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
CARDIOVASCULAR-DISEASE; CARDIAC-SURGERY; RISK; OUTCOMES; GERMANY;
Keywords:
coronary artery bypass surgery; obesity; body mass index;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
13
Recensione:
Indirizzi per estratti:
Indirizzo: Brandt, M Univ Hosp Kiel, Dept Cardiovasc Surg, Arnold Heller Str 7, D-24105 Kiel, Germany Univ Hosp Kiel Arnold Heller Str 7 Kiel Germany D-24105 Germany
Citazione:
M. Brandt et al., "Severe obesity does not adversely affect perioperative mortality and morbidity in coronary artery bypass surgery", EUR J CAR-T, 19(5), 2001, pp. 662-666

Abstract

Objective: Obese patients are usually thought to have an increased risk for complications in coronary artery bypass surgery. Methods: Therefore, the data of 500 consecutive patients undergoing coronary artery bypass graftingat our department in 1998 by use of cardiopulmonary bypass were analyzed. Severe obesity was defined as body mass index (BMI) greater than or equal to 30.0 kg/m(2). Obese patients (n = 100; group O) were compared to the remaining 400 patients (group C). Both groups were comparable with respect to sex, history of prior myocardial infarction, chronic obstructive pulmonary disease, previous stroke, duration of cardiopulmonary bypass, aortic cross-clamp time and number of distal anastomoses performed. Obese patients were slightly younger and diabetes and hypertension were more common in these patients. Results: Survival and potential complications including perioperative myocardial infarction, sternal wound infection, wound infection at the leg, renal failure, stroke, prolonged mechanical ventilation, pneumonia, reexploration for bleeding, and atrial arrhythmias were analyzed. No significant differences between obese and non-obese patients were detected. Conclusion: Severe obesity does not necessarily adversely affect perioperative mortality and morbidity in patients undergoing coronary artery bypass grafting in this study. (C) 2001 Elsevier Science B.V. All rights reserved.

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Documento generato il 27/01/20 alle ore 02:02:35