بررسي رابطه نمايه توده بدن و مرگ و مير داخل بيمارستاني بيماراني كه تحت عمل جراحي باي پاس شريان كرونر قرار گرفته اند

EFFECT OF BODY MASS INDEX (BMI) ON POST CORONARY ARTERY BYPASS GRAFTING SURGERY IN-HOSPITAL MORTALITY

Background: Obese patients are usually thought to have an increased risk for complications in coronary artery bypass grafting surgery (CABG). Several studies have been unclear about the relationship between obesity and the risk of adverse outcomes. The aim of this study was to assess the relationship between Body Mass Index (BMI) and in-hospital mortality following CABG. Methods: Between December 2003 and February2005 , 1258 patients who underwent isolated CABG at "Tehran Heart Center were included in this study. Patients were divided into three groups according to their BMI, Patients in group I had BMI<30 (non obese patients). In group II patients had 30 > BMI > 40 (obese patients). Patients in group III had BMI > 40 (very obese patients). Patients in each group were followed for in-hospital death and variables were compared to find any statistically meaningful relationship. Results: No significant difference was found between non obese and obese patients (group I & 11). but hypertension was more prominent in very obese patients (group III) and female sex was more prevalent in this group comparing two other groups. Mortalityʹ was more in the 3ʹd group as well. In non obese diabetic patients, the rate of mortality was higher than other patients. Logistic regression showed that BMI can not be considered as an independent factor to predict the risk of death in post CABG in-hospital mortality. Conclusion: It seems, in coronary artery bypass grafting, BMI is not an independent factor for predicting in-hospital mortality.