Journal article
No more broken hearts: weight loss after bariatric surgery returns patients' postoperative risk to baseline following coronary surgery
Surgery for obesity and related diseases, Vol.13(6), pp.1010-1015
06/01/2017
DOI: 10.1016/j.soard.2016.12.008
PMID: 28216113
Abstract
Background: The obesity epidemic is associated with a rise in coronary surgeries because obesity is a risk factor for coronary artery disease. Bariatric surgery is linked to improvement in cardiovascular co-morbidities and left ventricular function. No studies have investigated survival advantage in postoperative bariatric patients after coronary surgery.
Objectives: To determine if there is a benefit after coronary surgery in patients who have previously undergone bariatric surgery.
Setting: National Inpatient Sample.
Methods: We performed a retrospective, cross-sectional analysis of the National Inpatient Sample database from 2003 to 2010. We selected bariatric surgical patients who later underwent coronary surgery (n = 257). A comparison of postoperative complications and mortality after coronary surgery were compared with controls (n = 1442) using chi(2) tests, linear regression analysis, and multivariate logistical regression models.
Results: A subset population was identified as having undergone coronary surgery (n = 1699); of this population, 257 patients had previously undergone bariatric surgery. They were compared with 1442 controls. The majority was male (67.2%), white (82.6%), and treated in an urban environment (96.8%). Patients with bariatric surgery assumed the risk of postoperative complications after coronary surgery that was associated with their new body mass index (BMI) (BMI <25 kg/m(2): odds ratio (OR) 1.01, 95% CI .76-1.34, P = .94; BMI 25 to <35 kg/m(2): OR .20, 95% CI .02-(2).16, P = .19; BMI >= 35 kg/m(2): OR >999.9, 95% CI .18 to >999.9, P = .07). Length of stay was significantly longer in postbariatric patients (BMI <25, OR 1.62, 95% CI 1.14-2.30, P = .007).
Conclusions: Postoperative bariatric patients have a return to baseline risk of morbidity and mortality after coronary surgery.
Details
- Title: Subtitle
- No more broken hearts: weight loss after bariatric surgery returns patients' postoperative risk to baseline following coronary surgery
- Creators
- Maria Baimas-George - Tulane UniversityDietric L. Hennings - Tulane UniversityZaid Al-Qurayshi - Tulane UniversityEmad Kandil - Tulane UniversityChristopher DuCoin - Tulane University
- Resource Type
- Journal article
- Publication Details
- Surgery for obesity and related diseases, Vol.13(6), pp.1010-1015
- Publisher
- Elsevier
- DOI
- 10.1016/j.soard.2016.12.008
- PMID
- 28216113
- ISSN
- 1550-7289
- eISSN
- 1878-7533
- Number of pages
- 6
- Language
- English
- Date published
- 06/01/2017
- Academic Unit
- Otolaryngology
- Record Identifier
- 9984702816702771
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