Obesity and risk of adverse outcomes associated with coronary artery bypass surgery

Circulation

Volumn 97, Issue 17, 1998, Pages 1689-1694

  Birkmeyer, Nancy J O ^a,e   Charlesworth, David C ^b   Hernandez, Felix ^c   Leavitt, Bruce J ^d   Marrin, Charles A S ^a   Morton, Jeremy R ^b   Olmstead, Elaine M ^a   O'Connor, Gerald T ^a  

^a DARTMOUTH MEDICAL SCHOOL   (United States)

^b Optima Health Care ^*

^c Eastern Maine Medical Center   (United Kingdom)

^d FLETCHER ALLEN HEALTH CARE   (United States)

^e DARTMOUTH HITCHCOCK MEDICAL CENTER   (United States)

Author keywords

Morbidity; Mortality; Obesity; Risk factors; Surgery

Indexed keywords

ADULT; AGED; ARTICLE; BODY MASS; CEREBROVASCULAR ACCIDENT; CONTROLLED STUDY; CORONARY ARTERY BYPASS SURGERY; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MORBIDITY; OBESITY; OUTCOMES RESEARCH; POSTOPERATIVE HEMORRHAGE; PRIORITY JOURNAL; RISK FACTOR; SURGICAL MORTALITY; SURGICAL RISK; WOUND INFECTION;

EID: 0032485877     PISSN: 00097322     EISSN: None     Source Type: Journal    
DOI: 10.1161/01.CIR.97.17.1689     Document Type: Article

References (31)

1. Rutherford JE, Braunwald E, Cohn PE. Chronic ischemic heart disease. In: Braunwald E, ed. Heart Disease: A Textbook of Cardiovascular Medicine. 3rd ed. Philadelphia, Pa: WB Saunders Co; 1992:1340-1341.
2. Parsonnet V, Dean D, Bernstein AD. A method of uniform stratification of risk for evaluating the results of surgery in acquired adult heart disease. Circulation. 1989;79(suppl I):I-3-I-12.
3. Barrett-Connor EL. Obesity, atherosclerosis, and coronary artery disease. Ann Intern Med. 1985;103:1010-1019.
4. Bierman EL, Hirsch J. Obesity. In: Williams R, ed. Textbook of Endocrinology. Philadelphia, Pa: WB Saunders Co; 1981:906-921.
5. Mann GV. The influence of obesity on health. N Engl J Med. 1974;291: 178-185.
6. Manson JE, Stampfer MJ, Hennekens CH, Willett WC. Body weight and longevity: a reassessment. JAMA. 1987;257:353-358.
7. Simopoulos AP, Van Itallie TB. Body weight, health, and longevity. Ann Intern Med. 1984;100:285-295.
8. Fasol R, Schindler M, Schumacher B, Schlaudraff K, Hannes W, Seitelberger R, Schlosser V. The influence of obesity on perioperative morbidity: retrospective study of 502 aortocoronary bypass operations. J Thorac Cardiovasc Surg. 1992;40:126-129.
9. Gadaleta D, Risucci DA, Nelson RL, Tortolani AJ, Hall M, Parnell V, Chiodo C, Green S. Effects of morbid obesity and diabetes mellitus on risk of coronary artery bypass grafting. Am J Cardiol. 1992;70:1613-1614.
10. Koshal A, Hendry P, Raman SV, Keon WJ. Should obese patients not undergo coronary artery surgery? Can J Surg. 1985;28:331-334.
11. Prasad US, Walker WS, Sang CT, Campanella C, Cameron EW. Influence of obesity on the early and long-term results of surgery for coronary artery disease. Eur J Cardiothorac Surg. 1991;5:67-72; discussion, 72-73.
12. Moulton MJ, Creswell LL, Mackey ME, Cox JL, Rosenbloom M. Obesity is not a risk factor for significant adverse outcomes after cardiac surgery. Circulation. 1996;94(suppl II):II-87-II-92.
13. Pierpont GL, Kruse M, Ewald S, Weir EK. Practical problems in assessing risk for coronary artery bypass grafting. J Thorac Cardiovasc Surg. 1985;89:673-682.
14. The Principle Investigators of CASS and Their Associates. The National Heart, Lung, and Blood Institute Coronary Surgery Study (CASS). Circulation. 1981;63(suppl I):I-1-I-81.
15. Charlson ME, Pompei P, Ales KI, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chron Dis. 1987;40:373-383.
16. Criqui MH, Klauber MR, Barrett-Conner EL, Holdbrook MJ, Suarez L, Wingard DL. Adjustment for obesity in studies of cardiovascular disease. Am J Epidemiol. 1982;116:685-691.
17. Keys A, Fidanza F, Karvonen MJ. Indices of relative weight and obesity. J Chronic Dis. 1972;25:329-343.
18. Sjostrom LV. Mortality of severely obese subjects. Am J Clin Nutr. 1992;55:516S-523S.
19. Kuczmarski RJ, Flegal KM, Campbell SM, Johnson CL. Increasing prevalence of overweight among US adults: the National Health and Nutrition Examination Surveys, 1960 to 1991 [see comments]. JAMA. 1994;272:205-211.
20. Hennekens CH, Buring JE. Epidemiology in Medicine. Boston, Mass: Little Brown & Co; 1988.
21. Kleinbaum DG, Kupper LL, Morgenstern H. Epidemiologic Research: Principles and Quantitative Methods. Belmont, Calif: Wadsworth Inc; 1982.
22. StataCorp. STATA Statistical Software. Release 5.0 ed. College Station, Tex: Stata Corp; 1997.
23. Loop FD, Lytle BW, Cosgruve DM, Mahfood S, McHenry MC, Goormastic M, Stewart RW, Golding LA, Taylor PC. Sternal wound complications after isolated coronary artery bypass grafting: early and late mortality, morbidity, and cost of care. Ann Thorac Surg. 1990;49:179-186: discussion. 186-187. J. Maxwell Chamberlain Memorial Paper.
24. Kouchoukos NT, Wareing TH, Murphy SF, Pelate C, Marshall WGJ. Risks of bilateral internal mammary artery bypass grafting. Ann Thorac Surg. 1990;49:210-217; discussion, 217-219.
25. Hammermeister KE, Burchfiel C, Johnson R, Graver FL. Identification of patients at greatest risk for developing major complications at cardiac surgery. Circulation. 1990;82(suppl):IV-380-IV-389. Erratum, Circulation. 1991;84:446.
26. Nagachinta T, Stephens M, Reitz B, Polk BF. Risk factors for surgical-wound infection following cardiac surgery. J Infect Dis. 1987;156:967-973.
27. Beggs VL, Birkmeyer NJO, Nugent WC, Dacey LJ, O'Connor GT. Factors related to rehospitalization within thirty days of discharge after coronary artery bypass grafting. Best Pract Benchmarking Health. 1996;1:180-186.
28. O'Connor GT, Plume SK, Olmstead EM, Coffin LH, Morton JR, Maloney CT, Nowicki ER, Levy DG, Tryzelaar JF, Hernandez F, Adrian L, Casey KJ, Bundy D, Soule DN, Marrin CAS, Nugent WC, Charlesworth D, Clough R, Katz S, Leavitt BJ, Wennberg JE. Multi variate prediction of in-hospital mortality associated with coronary artery bypass graft surgery: Northern New England Cardiovascular Disease Study Group [see comments]. Circulation. 1992;85:2110-2118.
29. Charlesworth DC, Maloney CT, O'Connor GT, Marrin CAS, Morton JR, Leavitt BJ, Clough R. Patient and disease factors and the incidence of cerebrovascular accident associated with coronary artery bypass graft (CABG). Circulation. 1995;92(suppl I):I-644. Abstract.
30. Dacey LJ, Schults WC, Johnson ER, Leavitt BJ, Maloney CT, Morton JR, Olmstead EM, O'Connor GT. Effects of pre-operative aspirin use on bleeding, transfusion, re-exploration, and in-hospital mortality in coronary artery bypass graphing patients. Circulation. 1995;92(suppl I):I-644. Abstract.
31. Morton JR, O'Connor NJO, Marrin CAS, Olmslead EM, O'Connor GT. Associations between patient, disease and treatment factors and the risk of mediastinitis following coronary artery bypass graft surgery. Circulation. 1996;94(suppl I):I-233. Abstract.