Evidence map›Paper›PMID 28626087›Full record

ArticleCirculation2017

Effect of Obesity and Underweight Status on Perioperative Outcomes of Congenital Heart Operations in Children, Adolescents, and Young Adults: An Analysis of Data From the Society of Thoracic Surgeons Database.

Michael L O'Byrne, Sunghee Kim, Christoph P Hornik, Babatunde A Yerokun, Roland A Matsouaka, Jeffrey P Jacobs, Marshall L Jacobs, Richard A Jonas

Open access · bronzeAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Circulation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Overweight and Obesity in Patients with Congenital Heart Disease: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Michael L O'ByrneFrom Division of Cardiology, Children's National Health System, Department of Pediatrics (M.L.O.), and Division of Cardiothoracic Surgery, Children's National Health System, Department of Surgery (R.A.J.), George Washington University of Health Sciences, Washington, DC; Duke Clinical Research Institute (S.K., C.P.H., B.A.Y., R.A.M.) and Department of Pediatrics (C.P.H.), Duke University School of Medicine, Durham, NC; Department of Biostatistics and Bioinformatics, Duke University, Durham, NC (R.A.M.); Division of Cardiovascular Surgery, Johns Hopkins All Children's Heart Institute, Johns Hopkins University School of Medicine, St. Petersburg, FL (J.P.J.); and Division of Cardiac Surgery, Johns Hopkins University School of Medicine, Baltimore, MD (M.L.J.). obyrnem@email.chop.edu.
Sunghee KimFrom Division of Cardiology, Children's National Health System, Department of Pediatrics (M.L.O.), and Division of Cardiothoracic Surgery, Children's National Health System, Department of Surgery (R.A.J.), George Washington University of Health Sciences, Washington, DC; Duke Clinical Research Institute (S.K., C.P.H., B.A.Y., R.A.M.) and Department of Pediatrics (C.P.H.), Duke University School of Medicine, Durham, NC; Department of Biostatistics and Bioinformatics, Duke University, Durham, NC (R.A.M.); Division of Cardiovascular Surgery, Johns Hopkins All Children's Heart Institute, Johns Hopkins University School of Medicine, St. Petersburg, FL (J.P.J.); and Division of Cardiac Surgery, Johns Hopkins University School of Medicine, Baltimore, MD (M.L.J.).
Christoph P HornikFrom Division of Cardiology, Children's National Health System, Department of Pediatrics (M.L.O.), and Division of Cardiothoracic Surgery, Children's National Health System, Department of Surgery (R.A.J.), George Washington University of Health Sciences, Washington, DC; Duke Clinical Research Institute (S.K., C.P.H., B.A.Y., R.A.M.) and Department of Pediatrics (C.P.H.), Duke University School of Medicine, Durham, NC; Department of Biostatistics and Bioinformatics, Duke University, Durham, NC (R.A.M.); Division of Cardiovascular Surgery, Johns Hopkins All Children's Heart Institute, Johns Hopkins University School of Medicine, St. Petersburg, FL (J.P.J.); and Division of Cardiac Surgery, Johns Hopkins University School of Medicine, Baltimore, MD (M.L.J.).
Babatunde A YerokunFrom Division of Cardiology, Children's National Health System, Department of Pediatrics (M.L.O.), and Division of Cardiothoracic Surgery, Children's National Health System, Department of Surgery (R.A.J.), George Washington University of Health Sciences, Washington, DC; Duke Clinical Research Institute (S.K., C.P.H., B.A.Y., R.A.M.) and Department of Pediatrics (C.P.H.), Duke University School of Medicine, Durham, NC; Department of Biostatistics and Bioinformatics, Duke University, Durham, NC (R.A.M.); Division of Cardiovascular Surgery, Johns Hopkins All Children's Heart Institute, Johns Hopkins University School of Medicine, St. Petersburg, FL (J.P.J.); and Division of Cardiac Surgery, Johns Hopkins University School of Medicine, Baltimore, MD (M.L.J.).
Roland A MatsouakaFrom Division of Cardiology, Children's National Health System, Department of Pediatrics (M.L.O.), and Division of Cardiothoracic Surgery, Children's National Health System, Department of Surgery (R.A.J.), George Washington University of Health Sciences, Washington, DC; Duke Clinical Research Institute (S.K., C.P.H., B.A.Y., R.A.M.) and Department of Pediatrics (C.P.H.), Duke University School of Medicine, Durham, NC; Department of Biostatistics and Bioinformatics, Duke University, Durham, NC (R.A.M.); Division of Cardiovascular Surgery, Johns Hopkins All Children's Heart Institute, Johns Hopkins University School of Medicine, St. Petersburg, FL (J.P.J.); and Division of Cardiac Surgery, Johns Hopkins University School of Medicine, Baltimore, MD (M.L.J.).
Jeffrey P JacobsFrom Division of Cardiology, Children's National Health System, Department of Pediatrics (M.L.O.), and Division of Cardiothoracic Surgery, Children's National Health System, Department of Surgery (R.A.J.), George Washington University of Health Sciences, Washington, DC; Duke Clinical Research Institute (S.K., C.P.H., B.A.Y., R.A.M.) and Department of Pediatrics (C.P.H.), Duke University School of Medicine, Durham, NC; Department of Biostatistics and Bioinformatics, Duke University, Durham, NC (R.A.M.); Division of Cardiovascular Surgery, Johns Hopkins All Children's Heart Institute, Johns Hopkins University School of Medicine, St. Petersburg, FL (J.P.J.); and Division of Cardiac Surgery, Johns Hopkins University School of Medicine, Baltimore, MD (M.L.J.).
Marshall L JacobsFrom Division of Cardiology, Children's National Health System, Department of Pediatrics (M.L.O.), and Division of Cardiothoracic Surgery, Children's National Health System, Department of Surgery (R.A.J.), George Washington University of Health Sciences, Washington, DC; Duke Clinical Research Institute (S.K., C.P.H., B.A.Y., R.A.M.) and Department of Pediatrics (C.P.H.), Duke University School of Medicine, Durham, NC; Department of Biostatistics and Bioinformatics, Duke University, Durham, NC (R.A.M.); Division of Cardiovascular Surgery, Johns Hopkins All Children's Heart Institute, Johns Hopkins University School of Medicine, St. Petersburg, FL (J.P.J.); and Division of Cardiac Surgery, Johns Hopkins University School of Medicine, Baltimore, MD (M.L.J.).
Richard A JonasFrom Division of Cardiology, Children's National Health System, Department of Pediatrics (M.L.O.), and Division of Cardiothoracic Surgery, Children's National Health System, Department of Surgery (R.A.J.), George Washington University of Health Sciences, Washington, DC; Duke Clinical Research Institute (S.K., C.P.H., B.A.Y., R.A.M.) and Department of Pediatrics (C.P.H.), Duke University School of Medicine, Durham, NC; Department of Biostatistics and Bioinformatics, Duke University, Durham, NC (R.A.M.); Division of Cardiovascular Surgery, Johns Hopkins All Children's Heart Institute, Johns Hopkins University School of Medicine, St. Petersburg, FL (J.P.J.); and Division of Cardiac Surgery, Johns Hopkins University School of Medicine, Baltimore, MD (M.L.J.).
Johns Hopkins Medicine · USDuke University · USJohns Hopkins University · US

Funding

Outcomes in Children Undergoing Cardiac CatheterizationK23HL130420 · NHLBI · CHILDREN'S RESEARCH INSTITUTE · PI O'BYRNE, MICHAEL L · 2016 to 2020
$907k
NHLBI NIH HHS K23 HL130420
6 · The paper itself

Abstract

backgroundExtreme body mass index (BMI; either very high or very low) has been associated with increased risk of adverse perioperative outcome in adults undergoing cardiac surgery. The effect of BMI on perioperative outcomes in congenital heart disease patients has not been evaluated.

methodsA multicenter retrospective cohort study was performed studying patients 10 to 35 years of age undergoing a congenital heart disease operation in the Society of Thoracic Surgeons Congenital Heart Surgery Database between January 1, 2010, and December 31, 2015. The primary outcomes were operative mortality and a composite outcome (1 or more of operative mortality, major adverse event, prolonged hospital length of stay, and wound infection/dehiscence). The associations between age- and sex-adjusted BMI percentiles and these outcomes were assessed, with adjustment for patient-level risk factors, with multivariate logistic regression.

resultsOf 18 337 patients (118 centers), 16% were obese, 15% were overweight, 53% were normal weight, 7% were underweight, and 9% were severely underweight. Observed risks of operative mortality (

conclusionsObesity and underweight BMI were associated with increased risk of composite adverse outcome independently of other risk factors. Further research is necessary to determine whether BMI represents a modifiable risk factor for perioperative outcome.

Indexed as

Body Mass IndexAdolescentAdultCardiac Surgical ProceduresChildCohort StudiesDatabases, FactualFemaleHeart Defects, CongenitalHumansMaleObesityPostoperative ComplicationsRetrospective StudiesRisk FactorsSocieties, Medicalcardiac surgical procedurescardiologymortalityobesityoutcome assessment (health care)pediatrics

Identifiers

PMID28626087
PMCPMC5741184
OpenAlexW2625040951

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.