Evidence map›Paper›PMID 36431281›Full record

ArticleJournal of clinical medicine2022

Impact of Obesity on Early In-Hospital Outcomes after Coronary Artery Bypass Grafting Surgery in Acute Coronary Syndrome: A Propensity Score Matching Analysis.

Ihor Krasivskyi, Kaveh Eghbalzadeh, Borko Ivanov, Stephen Gerfer, Clara Großmann, Anton Sabashnikov, Elmar Kuhn, Navid Mader, Ilija Djordjevic, Thorsten Wahlers

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Body Weight's Role in Infective Endocarditis Surgery.Journal of cardiovascular development and disease · 2024
    Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Ihor KrasivskyiDepartment of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany.ORCID 0000-0003-0573-8218
Kaveh EghbalzadehDepartment of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany.
Borko IvanovDepartment of Cardiothoracic Surgery, Helios Hospital Siegburg, 53721 Siegburg, Germany.
Stephen GerferDepartment of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany.
Clara GroßmannDepartment of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany.ORCID 0000-0001-8747-496X
Anton SabashnikovDepartment of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany.
Elmar KuhnDepartment of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany.
Navid MaderDepartment of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany.
Ilija DjordjevicDepartment of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany.ORCID 0000-0002-5810-8626
Thorsten WahlersDepartment of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany.
University Hospital Cologne · DEHelios Hospital Siegburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent advances in perioperative care have considerably improved outcomes after coronary artery bypass graft (CABG) surgery. However, obesity can increase postoperative complication rates and can lead to increased morbidity and mortality. Between June 2011 and October 2019, a total of 1375 patients with acute coronary syndrome (ACS) underwent cardiac surgery and were retrospectively analyzed. Patients were divided into 2 groups: non-obese (body mass index (BMI) < 30 kg/m2, n = 967) and obese (BMI ≥ 30 kg/m2, n = 379). Underweight patients (n = 29) were excluded from the analysis. To compare the unequal patient groups, a propensity score-based matching (PSM) was applied (non-obese group (n = 372) vs. obese group (n = 372)). The mean age of the mentioned groups was 67 ± 10 (non-obese group) vs. 66 ± 10 (obese group) years, p = 0.724. All-cause in-hospital mortality did not significantly differ between the groups before PSM (p = 0.566) and after PSM (p = 0.780). The median length of ICU (p = 0.306 before PSM and p = 0.538 after PSM) and hospital stay (p = 0.795 before PSM and p = 0.131 after PSM) was not significantly higher in the obese group compared with the non-obese group. No significant differences regarding further postoperative parameters were observed between the unadjusted and the adjusted group. Obesity does not predict increased all-cause in-hospital mortality in patients undergoing CABG procedure. Therefore, CABG is a safe procedure for overweight patients.

Indexed as

BMICABGmortalityobesity

Identifiers

PMID36431281
PMCPMC9698701
OpenAlexW4309287765

What OpenQuestion holds

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LicenceCC BY
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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.