ArticleSurgery2011
Albumin is a better predictor of outcomes than body mass index following coronary artery bypass grafting.
Article in Surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Preoperative hypoalbuminemia in patients undergoing cardiac surgery: a meta-analysis.Surgery today · 2023Pooled it
- Predicting in-hospital mortality after cardiac surgery using machine learning: temporal validation in the MIMIC-IV database.Frontiers in cardiovascular medicine · 2026Article
- The role of the modified Glasgow prognostic score in predicting postoperative mortality following open-heart surgery.Journal of cardiothoracic surgery · 2025Article
- Neutrophil Percentage to Albumin Ratio Is Associated With In-Hospital Mortality in Patients With Acute Type A Aortic Dissection.Journal of clinical hypertension (Greenwich, Conn.) · 2025Article
- Prognostic Assessment with the Malnutrition Universal Screening Tool in Heart Transplant Recipients: A Pilot Study and a Single-Center Experience.Journal of personalized medicine · 2024Article
- Effects of Preoperative Nutritional Status and Lymphocyte Count on the Development of Early-term Atrial Fibrillation After Coronary Artery Bypass Grafting: A Retrospective Study.Brazilian journal of cardiovascular surgery · 2024Article
- Impact of the Prognostic Nutritional Index on Postoperative Outcomes in Patients Undergoing Heart Surgery.Cureus · 2023Article
- Nutritional Assessment and Interventions in Elective Hip and Knee Arthroplasty: a Detailed Review and Guide to Management.Current reviews in musculoskeletal medicine · 2022Review
- Development and Validation of Global Leadership Initiative on Malnutrition for Prognostic Prediction in Patients Who Underwent Cardiac Surgery.Nutrients · 2022Article
- Blood Urea Nitrogen-to-Albumin Ratio in Predicting Long-Term Mortality in Patients Following Coronary Artery Bypass Grafting: An Analysis of the MIMIC-III Database.Frontiers in surgery · 2022Article
- Recommendations for Preoperative Assessment and Shared Decision-Making in Cardiac Surgery.Current anesthesiology reports · 2020Article
- The influence of postoperative albumin levels on the outcome of cardiac surgery.Journal of cardiothoracic surgery · 2020Observational
- Prognostic Value of Serum Albumin at Admission for Neurologic Outcome with Targeted Temperature Management after Cardiac Arrest.Emergency medicine international · 2019Article
- Current Evidence about Nutrition Support in Cardiac Surgery Patients-What Do We Know?Nutrients · 2018Review
- Determination of food intake and the factors affecting food intake in perioperative period in patients who undergo open heart surgery.Turk gogus kalp damar cerrahisi dergisi · 2018Article
- Impact of serum albumin levels on long-term outcomes in patients undergoing percutaneous coronary intervention.Heart and vessels · 2017Observational
- Dynamic changes of paraoxonase 1 activity towards paroxon and phenyl acetate during coronary artery surgery.BMC cardiovascular disorders · 2017Article
- Critical appraisal of the role of serum albumin in cardiovascular disease.Biomarker research · 2017Review
- Factors affecting serum albumin in the perioperative period of colorectal surgery: a retrospective study.BMC research notes · 2015Article
- Resistant pathogens, fungi, and viruses.The Surgical clinics of North America · 2014Review
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveBody mass index (BMI) influences risk in coronary artery bypass grafting (CABG) patients, but albumin level is not collected by the Society of Thoracic Surgeons database. We postulate that preoperative albumin is a better predictor of mortality than BMI following CABG.
methodsBMI from patients with serum albumin level within 6 months of isolated CABG during 1995-2010 from our institutional databases were identified. Patients were stratified by National Heart, Lung, and Blood Institute (NHLBI) BMI class, and by preoperative albumin. Regression models were used to assess predictors of morbidity and mortality.
resultsWe analyzed 2,794 isolated CABG patients at our institution. Unadjusted mortality was highest with lowest BMI (P ≤ .05), and in patients with 2-3 g/dL albumin (P = .02). Ejection fraction (EF) and intra-aortic balloon pump (IABP) use were similar despite BMI; however, EF was lowest and IABP use highest in the 2-3 g/dL albumin group (P < .001, respectively). Unlike BMI groups, increasing albumin was associated with lower major complication rates (P = .001). Similarly, adjusted mortality was not influenced by BMI (AOR 0.97, 95% CI 0.93-1.02), but increasing albumin levels reduced the adjusted odds of death (AOR 0.61, 95% CI 0.42-0.90).
conclusionAlbumin, more than body mass index, is associated with mortality and morbidity in isolated CABG recipients and may be a better indicator for outcomes.
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