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Báo cáo y học: "Operative and early results of coronary artery bypass grafting in female patients in different body mass indexes"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Operative and early results of coronary artery bypass grafting in female patients in different body mass indexes. | Tokmakoglu Journal of Cardiothoracic Surgery 2010 5 119 http www.cardiothoracicsurgery.Org content 5 1 119 JOTS JOURNAL OF CARDIOTHORACIC SURGERY RESEARCH ARTICLE Open Access Operative and early results of coronary artery bypass grafting in female patients in different body mass indexes Hilmi Tokmakoglu Abstract Background Female gender has been reported to be an independent risk factor for coronary artery bypass grafting CABG in European System for Cardiac Risk Evaluation. The effect of the body size on the CABG outcome is less clear. There is ongoing debate about obesity as a risk factor for adverse outcomes after cardiovascular procedures. The goal of this retrospective study is to evaluate the in hospital and early postoperative outcomes in severe obese obese and normal-slightly obese female patients after CABG. Methods In a four year period a total of 427 female patients underwent isolated CABG under cardiopulmonary bypass. The patients were allocated into three groups according to the Body Mass Index BMI as follows group 1 severe obese patients BMI 35 group 2 obese patients 30 BMI 35 group 3 normal-slightly obese patients BMI 30 Results The patients in group 3 were older than the group1 and group 2 65 6 8 3 year vs 63 01 8 0 and 63 57 8 4 year p 0 05 . In group 1 diabetic patients were more than in group 2 and group 3 respectively 54 4 vs 43 4 and 40 p 0 05 . Urgent operation was more in group 1 than in group 2 and 3 respectively 37 6 vs 17 2 and 21 2 p 0 05 . The patients in group 3 had significantly greater postoperative drainage at 24 h compared with values in group 1 and group 2 647 142 ml vs. 539 169 ml and 582 133 ml p 0 05 . Mortality rate in group 1 was 0 8 0 in group 2 and 1 2 in group 3 respectively. Wound problem has occured in 41 patients 9 6 .The percentage of postoperative wound problems was higher in group 1 but did not show statiscially difference. Following discharge a total of 43 10 1 patients re-hospitalized within 30 days. .