THE INFLUENCE OF OBESITY ON PERIOPERATIVE MORBIDITY - RETROSPECTIVE STUDY OF 502 AORTOCORONARY BYPASS OPERATIONS

被引:88
作者
FASOL, R [1 ]
SCHINDLER, M [1 ]
SCHUMACHER, B [1 ]
SCHLAUDRAFF, K [1 ]
HANNES, W [1 ]
SEITELBERGER, R [1 ]
SCHLOSSER, V [1 ]
机构
[1] UNIV FREIBURG,DEPT ANAESTHESIA,W-7800 FREIBURG,GERMANY
关键词
OBESITY; PERIOPERATIVE MORBIDITY; AORTOCORONARY BYPASS OPERATION; PREOPERATIVE WEIGHT REDUCTION;
D O I
10.1055/s-2007-1020129
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The incidence of perioperative complications after coronary artery surgery was investigated by a retrospective study of all 502 patients undergoing coronary artery bypass graft (CABG) surgery in our Department between January 1st and December 31st of last year (1990). Furthermore, the influence of obesity on the early results of surgery was assessed and the effect of preoperative weight reduction on perioperative complication rates examined. Obese patients had a greater incidence of left-stem coronary artery stenosis (p < 0.001), hyperlipidaemia (p < 0.05), hypertension (p < 0.05), diabetes mellitus (p < 0.02), and were in general younger at the time of operation (57.9 +/- 8.4 vs. 60.8 +/- 8.5 years). There were no differences in the surgery performed and in operative mortality, but there were some in perioperative morbidity. Obese patients had higher rates of infection (p < 0.02), sternal dehiscence (p < 0.02), arrhythmias (p < 0.02) and myocardial infarction (p < 0.02). No significant differences were identified in obese patients with or without preoperative weight reduction, although there was a trend of better postoperative recovery and results in patients having undergone preoperative weight reduction. Analysis of our results demonstrated obesity to be an independent risk factor for perioperative complications, hospital morbidity, and length of hospitalization.
引用
收藏
页码:126 / 129
页数:4
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