The association of body composition assessment with hospital length of stay in off-pump coronary artery bypass patients.

Autor: Wilimski R; Department of Cardio-Thoracic Surgery and Transplantology, Medical University of Warsaw, Warsaw, Poland., Marszałek M; Department of Cardio-Thoracic Surgery and Transplantology, Medical University of Warsaw, Warsaw, Poland., Walkowski B; Department of Cardio-Thoracic Surgery and Transplantology, Medical University of Warsaw, Warsaw, Poland., Michalski W; Department of Cardio-Thoracic Surgery and Transplantology, Medical University of Warsaw, Warsaw, Poland., Eyileten C; Department of Clinical and Experimental Pharmacology, Medical University of Warsaw, Warsaw, Poland., Przekop Z; Department of Clinical Dietetics, Faculty of Health and Science, Medical University of Warsaw, Warsaw, Poland., Małachowska A; Department of Clinical Dietetics, Faculty of Health and Science, Medical University of Warsaw, Warsaw, Poland., Grochowska A; Department of Clinical Dietetics, Faculty of Health and Science, Medical University of Warsaw, Warsaw, Poland., Sosnowska M; Department of Diabetology and Internal Diseases, Medical University of Warsaw, Warsaw, Poland., Kuśmierczyk M; Department of Cardio-Thoracic Surgery and Transplantology, Medical University of Warsaw, Warsaw, Poland.
Jazyk: angličtina
Zdroj: Postepy w kardiologii interwencyjnej = Advances in interventional cardiology [Postepy Kardiol Interwencyjnej] 2023 Sep; Vol. 19 (3), pp. 233-242. Date of Electronic Publication: 2023 Sep 27.
DOI: 10.5114/aic.2023.131476
Abstrakt: Introduction: Bioelectrical impedance analysis is a widely available, non-invasive method for body composition assessment.
Aim: To elucidate the perioperative body composition alterations and their prognostic utility for hospital length of stay (LOS) in low risk, off-pump coronary artery bypass (OPCAB) patients.
Material and Methods: Fifty patients undergoing elective OPCAB were included in the study. Body composition assessments were performed 1 day before the scheduled surgery and on the 6th postoperative day. Patients were grouped into < 9 days ( n = 29, 58%) and ≥ 9 days ( n = 21, 42%). Multivariate logistic regression analysis was performed to create a body composition-based screening panel for prolonged hospital stay.
Results: No significant differences in anthropometric measurements, clinical characteristics or occurrence of postoperative complications were detected between the study groups. Patients with longer hospitalization had significantly higher content of fat mass (FM%) and fat mass index (FMI), and significantly lower content of fat free mass (FFM%) baseline parameters ( p = 0.011, p = 0.04 and p = 0.012, respectively). High FM% values had 15-fold, low FFM% values had 13-fold and high FMI values had 7-fold higher risk of experiencing longer stay in the hospital ( p = 0.001, p = 0.001 and p = 0.005, respectively). The combined panel of three variables (higher FM%, lower FFM% and higher FMI) had 16-fold higher risk of longer hospitalization (adjusted OR = 16.40; 95% CI: 3.52-76.34; p = 0.0004).
Conclusions: Preoperative high FM and low FFM content are independent predictors of prolonged hospital length of stay in normal- and increased-BMI patients after OPCAB.
Competing Interests: The authors declare no conflict of interest.
(Copyright: © 2023 Termedia Sp. z o. o.)
Databáze: MEDLINE
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