Impact of body mass index and albumin on morbidity and mortality after cardiac surgery

Impact of body mass index and albumin on morbidity and mortality after cardiac surgery
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DOI:
10.1016/s0022-5223(99)70056-5
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发表时间:
1999-11-01
影响因子:
6
通讯作者:
Rizzo, RJ
Rizzo, RJ
中科院分区:
医学1区
文献类型:
--
作者:
Engelman, DT;Adams, DH;Rizzo, RJ

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目的:极瘦和过度肥胖的患者可能无法像其他患者一样耐受心脏手术,进行了一项回顾性研究,以确定体重指数(体重/身高(2)[kg/m(2)])和/或恶病质是否会增加与心脏手术相关的发病率和死亡率。研究方法:使用体重指数客观衡量“瘦”(体重指数< 20)和“重”(体重指数> 30);使用术前血清白蛋白量化营养状况和基础疾病。数据收集于1993年至1997年,来自5168例连续接受冠状动脉搭桥术或瓣膜手术或两者兼而有之的患者。结果:体重指数与术前白蛋白水平无显著相关性,低体重指数(
Objective: Extremely thin and overly obese patients may not tolerate cardiac surgery as well as other patients, A retrospective study was conducted to determine whether the extremes of body mass index (weight/height(2) [kg/m(2)]) and/or cachexia increased the morbidity and mortality associated with cardiac operations. Methods: Body mass index was used to objectively measure "thinness" (body mass index < 20) and "heaviness" (body mass index > 30); preoperative serum albumin was used to quantify nutritional status and underlying disease. Data were gathered between 1993 and 1997 from 5168 consecutive patients undergoing coronary artery bypass or valve operations, or both. Results: No significant correlations were observed between body mass index and preoperative albumin levels, Low body mass index (