Abstract
A5172 - No More Broken Hearts: Weight Loss after Bariatric Surgery Returns Patients Post-Operative Risk to Baseline Following Coronary Surgery
Surgery for obesity and related diseases, Vol.12(7), pp.S162-S162
08/2016
DOI: 10.1016/j.soard.2016.08.290
Abstract
Background
The obesity epidemic is associated with a rise in coronary surgeries as obesity is a risk factor for coronary artery disease. Bariatric surgery has been linked to an improvement in cardiovascular co-morbidities and left ventricular function. To date, no papers have investigated a survival advantage in post-operative bariatric patients after coronary surgery. The aim of this study is to assess if there is benefit after coronary surgery in the post-operative bariatric surgery patient.
Methods
We performed a retrospective, cross-sectional analysis of the National Inpatient Sample database from 2003-2010. We selected patients with a history of bariatric surgery who then underwent coronary surgery (n = 257). A comparison of post-operative complications and mortality following coronary surgery were compared to controls (n = 1442). The sample was analyzed using Chi-squared tests, linear regression analysis and multivariate logistical regression models.
Results
A subset population of the database was identified as having undergone coronary surgery (n = 1699); of these, we identified 257 patients who had previous bariatric surgery. They were compared to 1442 controls. A majority of the study population was male (67.2%), white (82.6%) and were treated in an urban environment (96.8%). After controlling for demographics, patients with previous bariatric surgery assumed the risk of their new BMI of post-operative complications after coronary surgery (BMI ≤25, OR 1.01, 95% CI 0.76-1.34, p =0.94; BMI 25-≤35, OR 0.20, 95% CI 0.02-2.16, p=0.19; BMI ≥= 35, OR ≥999.9, 95% CI 0.18-≥999.9, p=0.07). Cost of hospital stay was significantly lower in post-bariatric patients as compared with controls (BMI 25-35, OR ≤0.001, 95% CI ≤0.001-≤0.001, p=≤0.001). Length of stay was significantly longer in post-bariatric patients (BMI ≤25, OR 1.62, 95% CI 1.14-2.30, p=.007).
Conclusions
In post-operative bariatric patients, a return to baseline risk of morbidity and mortality was demonstrated following coronary surgery.
Details
- Title: Subtitle
- A5172 - No More Broken Hearts: Weight Loss after Bariatric Surgery Returns Patients Post-Operative Risk to Baseline Following Coronary Surgery
- Creators
- Dietric Hennings - Tulane UniversityMaria Baimas-GeorgeChristopher DuCoin - Tulane UniversityZaid Al-Qurayshi
- Resource Type
- Abstract
- Publication Details
- Surgery for obesity and related diseases, Vol.12(7), pp.S162-S162
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.soard.2016.08.290
- ISSN
- 1550-7289
- eISSN
- 1878-7533
- Language
- English
- Date published
- 08/2016
- Academic Unit
- Otolaryngology
- Record Identifier
- 9984702894602771
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