ArticleSurgery in practice and science2022
BMI disparities in coronary artery bypass grafting outcomes: A single center Society of Thoracic Surgeons (STS) database analysis.
Article in Surgery in practice and science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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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8 authors.
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Abstract
Introduction: Disparities in Body Mass Index (BMI) has been a potential risk factor for intraoperative outcomes, postoperative morbidity and mortality after coronary artery bypass graft (CABG). This study aims to quantify the effect of BMI on early clinical outcomes following CABG. Method: The Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database was queried for adult patients who underwent first-time Coronary Artery Bypass Graft (CABG) patients in our center from 2014 to 2020. BMI and gender were investigated as primary risk factors for intraoperative outcomes, in-hospital postoperative outcomes, and hospital readmission using multiple logistic regression models. Propensity score weighting was used due to imbalances in the observational groups. Locally weighted smoothing (LOESS) plots of BMI were inspected for each outcome with a predicted probability plot of the interaction between BMI and gender. Results: Among 591 patients meeting inclusion criteria, 79% were male (n=468) and 21% were female (n=124). Healthy(H), overweight/obese (O), and morbidly obese (MO) BMI was defined as <25, 25-35 and >35 respectively. There were significantly higher proportions of females in the healthy and obese categories, and males in the overweight BMI category (F vs M: H:33.9 vs 66.1% O: 15 vs 85%, MO:35 vs 65%, Conclusion: There was no difference in perioperative outcomes among the cohort. Morbidly obese patients undergoing CABG have a higher risk of SSI. Mortality was higher in the underweight patients. In general, BMI disparities did not affect the risk of perioperative death and other adverse outcomes.
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