Effect of Obesity on Coronary Artery Bypass Surgery Obezi̇teni̇n Koroner Bypass Cerrahi̇si̇ Üzeri̇ne Etki̇si̇


SUNAR H., HALICI Ü., CANBAZ S., Yavuz E., GÜR Ö., DURAN E.

Gulhane Medical Journal, cilt.45, sa.4, ss.338-342, 2003 (Scopus, TRDizin) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 45 Sayı: 4
  • Basım Tarihi: 2003
  • Dergi Adı: Gulhane Medical Journal
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.338-342
  • Anahtar Kelimeler: Coronary Artery Bypass Grafting, Obesity, Postoperative Complications
  • Trakya Üniversitesi Adresli: Evet

Özet

OBJECTIVE: Obesity can cause risk augmentation of coronary artery disease. In this study, the effects of obesity were investigated on coronary artery bypass grafting (CABG) and its outcomes. STUDY DESIGN: We performed retrospective study on the 103 of CABG patients who were randomly selected. The patients were grouped as normal (group 1, n=24), overweight (group 2, n=45), mild obese (group 3, n=21), moderate- severe obese (group 4, n=13), in according to body mass index. Data analyses were performed with SPSS 10.00 program. RESULTS: Development of recent atrial fibrillation and difficulty of the healing of sternal incision were seen at significantly higher rates in group 4. One hemiparesy, in group 3 and 2 superficial and 1 deep sternal wound infections and 1 hemothorax in group 4 were detected. Intraoperative mortality was never seen. However, two patients died in group 1, one patients died in group 3 and one patient died in group 4, in early postoperative period. DISCUSSION: Significant CABG mortality may not be seen in obese patients. However, obesity may cause prolonged postoperative hospital stay and the higher cost of operation.