Ali Kord VALESHABAD, Jamshid BAGHERİ, Amin BAGHERİ, Fereshteh REZAKHANLOO

Effects of body mass index on the early surgical outcomes after coronary artery bypass grafting

Amaç: Bu çalışmada vücut kütle indeksinin (VKİ) koroner arter baypas greftlemenin (KABG) erken cerrahi sonuçları üzerindeki etkileri araştırıldı.Çalışmaplanı:Ağustos 2007 - Mart 2011 tarihleri arasında, İran, Tahran Shariati Hastanesi'nde izole KABG yapılan toplam 1,673 ardışık hasta (1,209 erkek, 464 kadın; ort. yaş 58.6±9.9 yıl; dağılım 21-87 yıl) retrospektif olarak incelendi. Hastalar VKİ değerlerine göre dört gruba ayrıldı: zayıf (VKİ =40 kg/m2, n=356). Gruplar arasında ameliyat öncesi özellikler karşılaştırıldı. Beden kütle indeksinin ameliyat sonrası mortalite ve morbidite üzerindeki etkileri, basamaklı çok değişkenli lojistik regresyon analizi ile değerlendirildi.Bul gu lar: Gruplar arasında mortalite oranı açısından anlamlı bir fark yoktu. İntraaortik balon pompası (İABP), çok değişkenli lojistik regresyon analizinde ameliyat sonrası mortalitenin tek bağımsız öngördürücüsü idi (OR=20.5, %95 CI=8.6-50.5; p

Koroner arter baypas greftleme sonrasında beden kütle indeksinin erken cerrahi sonuçlar üzerindeki etkileri

Background: This study aims to investigate the effects of body mass index (BMI) on early surgical outcomes of coronary artery bypass grafting (CABG). Methods: Between August 2007 and March 2011, a total of 1,673 consecutive patients (1,209 males, 464 females; mean age 58.6±9.9 years; range 21 to 87 years) who underwent isolated CABG at Shariati Hospital, Tehran, Iran were retrospectively analyzed. The patients were classified into four groups based on the BMI values: underweight (BMI =40 kg/m2, n=356). Preoperative characteristics were compared among the four groups. Effects of BMI on postoperative mortality and morbidity were evaluated using the stepwise multivariate logistic regression analysis. Results: There was no significant difference in the mortality rate among the groups. Intra-aortic balloon pump (IABP) was the only independent predictor of postoperative mortality in the multivariate logistic regression analysis (OR=20.5, 95% CI=8.6-50.5; p

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