The impact of body mass index on short- and long-term outcomes in patients undergoing coronary artery graft bypass.
OBJECTIVE: This study was designed to investigate the impact of body mass index (BMI) on short- and long-term outcomes after initial revascularization with coronary artery bypass graft (CABG) surgery. METHODS: 4916 Chinese who consecutively underwent isolated, primary CABG at the Cardiovascular Inst...
Main Authors: | , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Public Library of Science (PLoS)
2014-01-01
|
Series: | PLoS ONE |
Online Access: | http://europepmc.org/articles/PMC3994030?pdf=render |
id |
doaj-f5b54b405b9245aeae36eab83f3c015e |
---|---|
record_format |
Article |
spelling |
doaj-f5b54b405b9245aeae36eab83f3c015e2020-11-25T00:47:03ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0194e9522310.1371/journal.pone.0095223The impact of body mass index on short- and long-term outcomes in patients undergoing coronary artery graft bypass.Hushan AoXianqiang WangFei XuZhe ZhengMing ChenLei LiChaoqun WuQian WangShengshou HuOBJECTIVE: This study was designed to investigate the impact of body mass index (BMI) on short- and long-term outcomes after initial revascularization with coronary artery bypass graft (CABG) surgery. METHODS: 4916 Chinese who consecutively underwent isolated, primary CABG at the Cardiovascular Institute of Fuwai Hospital from January 1, 1999 to December 31, 2005 were included in this study. They were classified based on BMI as follows: underweight: <18.5 kg/m2, normal weight: 18.5 to 23.9 kg/m2, overweight: 24 to 27.9 kg/m2, obesity: 28 to 32 kg/m2, and severe obesity: >32 kg/m2. Short (in-hospital) and long-term (5-years) major post-operative complications and mortalities were compared among various BMI groups after initial revascularization. RESULTS: Multiple regression analysis of five years follow-up of clinical end points indicated that various BMI groups were not associated with significant differences in 5 years mortality and MACCE, however, old age, smoking, hypertension, myocardial infarction and heart failure were the risk factor for the mortality. CONCLUSIONS: In this large-scale study with long term follow-up after primary CABG in an exclusively ethnic Chinese population, we found that different BMI groups were not significantly associated with 5-years mortality and MACCE, however, old age, smoking, hypertension, myocardial infarction and heart failure were the risk factors of post-operative mortality, and old age, hypertension and heart failure increased the rate of MACCE.http://europepmc.org/articles/PMC3994030?pdf=render |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hushan Ao Xianqiang Wang Fei Xu Zhe Zheng Ming Chen Lei Li Chaoqun Wu Qian Wang Shengshou Hu |
spellingShingle |
Hushan Ao Xianqiang Wang Fei Xu Zhe Zheng Ming Chen Lei Li Chaoqun Wu Qian Wang Shengshou Hu The impact of body mass index on short- and long-term outcomes in patients undergoing coronary artery graft bypass. PLoS ONE |
author_facet |
Hushan Ao Xianqiang Wang Fei Xu Zhe Zheng Ming Chen Lei Li Chaoqun Wu Qian Wang Shengshou Hu |
author_sort |
Hushan Ao |
title |
The impact of body mass index on short- and long-term outcomes in patients undergoing coronary artery graft bypass. |
title_short |
The impact of body mass index on short- and long-term outcomes in patients undergoing coronary artery graft bypass. |
title_full |
The impact of body mass index on short- and long-term outcomes in patients undergoing coronary artery graft bypass. |
title_fullStr |
The impact of body mass index on short- and long-term outcomes in patients undergoing coronary artery graft bypass. |
title_full_unstemmed |
The impact of body mass index on short- and long-term outcomes in patients undergoing coronary artery graft bypass. |
title_sort |
impact of body mass index on short- and long-term outcomes in patients undergoing coronary artery graft bypass. |
publisher |
Public Library of Science (PLoS) |
series |
PLoS ONE |
issn |
1932-6203 |
publishDate |
2014-01-01 |
description |
OBJECTIVE: This study was designed to investigate the impact of body mass index (BMI) on short- and long-term outcomes after initial revascularization with coronary artery bypass graft (CABG) surgery. METHODS: 4916 Chinese who consecutively underwent isolated, primary CABG at the Cardiovascular Institute of Fuwai Hospital from January 1, 1999 to December 31, 2005 were included in this study. They were classified based on BMI as follows: underweight: <18.5 kg/m2, normal weight: 18.5 to 23.9 kg/m2, overweight: 24 to 27.9 kg/m2, obesity: 28 to 32 kg/m2, and severe obesity: >32 kg/m2. Short (in-hospital) and long-term (5-years) major post-operative complications and mortalities were compared among various BMI groups after initial revascularization. RESULTS: Multiple regression analysis of five years follow-up of clinical end points indicated that various BMI groups were not associated with significant differences in 5 years mortality and MACCE, however, old age, smoking, hypertension, myocardial infarction and heart failure were the risk factor for the mortality. CONCLUSIONS: In this large-scale study with long term follow-up after primary CABG in an exclusively ethnic Chinese population, we found that different BMI groups were not significantly associated with 5-years mortality and MACCE, however, old age, smoking, hypertension, myocardial infarction and heart failure were the risk factors of post-operative mortality, and old age, hypertension and heart failure increased the rate of MACCE. |
url |
http://europepmc.org/articles/PMC3994030?pdf=render |
work_keys_str_mv |
AT hushanao theimpactofbodymassindexonshortandlongtermoutcomesinpatientsundergoingcoronaryarterygraftbypass AT xianqiangwang theimpactofbodymassindexonshortandlongtermoutcomesinpatientsundergoingcoronaryarterygraftbypass AT feixu theimpactofbodymassindexonshortandlongtermoutcomesinpatientsundergoingcoronaryarterygraftbypass AT zhezheng theimpactofbodymassindexonshortandlongtermoutcomesinpatientsundergoingcoronaryarterygraftbypass AT mingchen theimpactofbodymassindexonshortandlongtermoutcomesinpatientsundergoingcoronaryarterygraftbypass AT leili theimpactofbodymassindexonshortandlongtermoutcomesinpatientsundergoingcoronaryarterygraftbypass AT chaoqunwu theimpactofbodymassindexonshortandlongtermoutcomesinpatientsundergoingcoronaryarterygraftbypass AT qianwang theimpactofbodymassindexonshortandlongtermoutcomesinpatientsundergoingcoronaryarterygraftbypass AT shengshouhu theimpactofbodymassindexonshortandlongtermoutcomesinpatientsundergoingcoronaryarterygraftbypass AT hushanao impactofbodymassindexonshortandlongtermoutcomesinpatientsundergoingcoronaryarterygraftbypass AT xianqiangwang impactofbodymassindexonshortandlongtermoutcomesinpatientsundergoingcoronaryarterygraftbypass AT feixu impactofbodymassindexonshortandlongtermoutcomesinpatientsundergoingcoronaryarterygraftbypass AT zhezheng impactofbodymassindexonshortandlongtermoutcomesinpatientsundergoingcoronaryarterygraftbypass AT mingchen impactofbodymassindexonshortandlongtermoutcomesinpatientsundergoingcoronaryarterygraftbypass AT leili impactofbodymassindexonshortandlongtermoutcomesinpatientsundergoingcoronaryarterygraftbypass AT chaoqunwu impactofbodymassindexonshortandlongtermoutcomesinpatientsundergoingcoronaryarterygraftbypass AT qianwang impactofbodymassindexonshortandlongtermoutcomesinpatientsundergoingcoronaryarterygraftbypass AT shengshouhu impactofbodymassindexonshortandlongtermoutcomesinpatientsundergoingcoronaryarterygraftbypass |
_version_ |
1725262228213465088 |