Does the anthropometric profile influence infection morbidity after coronary artery bypass grafting?
| Autor: | Claudio Ribeiro da Cunha, Hélio M. Pegado, Larissa M. R. de Brito, Guilherme U Monte, Fernando Antibas Atik, Renato B. Chaves, Vitor Salvatore Barzilai, Adhamys K. A. Dias, Edilson P. França, Murilo T. Macedo, Rodrigo Biondi |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Male medicine.medical_specialty Blood transfusion medicine.medical_treatment 030204 cardiovascular system & hematology Body Mass Index Coronary artery disease 03 medical and health sciences symbols.namesake 0302 clinical medicine Thinness Risk Factors Diabetes mellitus Internal medicine medicine Humans Poisson regression Myocardial infarction Coronary Artery Bypass Aged Retrospective Studies Ejection fraction business.industry Anthropometry Middle Aged medicine.disease Treatment Outcome 030228 respiratory system symbols Surgery Female Underweight medicine.symptom Morbidity Cardiology and Cardiovascular Medicine Complication business Body mass index |
| Zdroj: | Journal of cardiac surgeryREFERENCES. 36(4) |
| ISSN: | 1540-8191 |
| Popis: | Background: Infection after cardiovascular surgery is multifactorial. We sought to determine whether the anthropometric profile influence the occurrence of infection after isolated coronary artery bypass grafting (CABG). Methods: Between January 2011 and June 2016, 1,777 consecutive adult patients were submitted to isolated coronary artery bypass grafting. Mean age was 61.7 ± 9.8 years and 1,193 (67.1%) were males. Patients were divided into four groups according to the Body Mass Index (BMI) classification: underweight (BMI30 kg/m2: N=430, 24.2%). In-hospital outcomes were compared and independent predictors of infection were obtained through multiple Poisson regression with robust variation. Results: Independent predictors of any infection morbidity were female sex (RR 1.47, P=0.002), age > 60 years (RR 1.85, P 120 minutes (RR 1.89, P=0.0007), preoperative myocardial infarction < 30 days (RR 1.37, P=0.01), diabetes mellitus (RR 1.59, P=0.0003), ejection fraction < 48% (RR 2.12, P |
| Databáze: | OpenAIRE |
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