Early Outcome of Coronary Artery Bypass Grafting in Obese and Non Obese Patients

Ajwad Farogh, Noman Izhar, Iqra Niaz, Omar Iqbal
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Abstract

Objective: To determine the impact of body mass index (BMI) on short-term outcomes like; renal failure, prolonged ventilation and mortality after CABG surgery. Methodology: This prospective comparative study was conducted at the Cardiac Surgery Department, Pervaiz Elahi Institute of Cardiology, Bahawalpur from February to December 2021. A total of 148 patients were enrolled after taking written consent and data was collected through predesign proforma sheets, including; clinical history, investigation and early outcomes in term of (renal failure, prolonged ventilation, and mortality). SPSS 23 was used to analyze data with statistically significant p-value < 0.05. Results: The findings showed that average age of research participants were 57.14 ± 3.07 (age range 30-73 years) and 121 (81.76%) male compared with 27(18.24%) female patients were enrolled with insignificant p-value of 0.730. In this study prolonged ventilation was found in 5(6.76%) obese and 8(10.81%) non-obese patients with insignificant p-value of 0.070. Renal Failure was found in 2 (2.70%) obese and 8 (10.81%) non-obese patients with significant p-value of 0.02 and mortality in 4(5.41%) obese and 2 (2.70%) non-obese patients with significant p-value of 0.0482. Conclusion: The results of the current investigation demonstrated that an obese BMI was a reliable indicator of morbidity or mortality following CABG.
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肥胖与非肥胖患者冠状动脉搭桥术的早期疗效
目的:确定体重指数(BMI)对短期预后的影响,如;肾功能衰竭、延长通气时间和冠状动脉搭桥术后死亡率。方法:这项前瞻性比较研究于2021年2月至12月在巴哈瓦尔布尔peraiz Elahi心脏病研究所心脏外科进行。在获得书面同意后,共有148名患者入组,并通过设计前形式表收集数据,包括;临床病史、调查和早期结果(肾功能衰竭、延长通气时间和死亡率)。采用SPSS 23对p值< 0.05有统计学意义的数据进行分析。结果:研究对象平均年龄为57.14±3.07岁(30 ~ 73岁),男性121例(81.76%),女性27例(18.24%),p值为0.730,差异无统计学意义。本研究中肥胖患者5例(6.76%),非肥胖患者8例(10.81%),通气时间延长,p值为0.070,差异无统计学意义。肥胖2例(2.70%)、非肥胖8例(10.81%)存在肾功能衰竭,p值显著性为0.02;肥胖4例(5.41%)、非肥胖2例(2.70%)存在死亡率,p值显著性为0.0482。结论:目前的研究结果表明,肥胖BMI是CABG术后发病率或死亡率的可靠指标。
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