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العنوان
Postoperative Complication in Overweight Patients Undergoing Coronary Artery Bypass Graft Surgery
الناشر
faculty of medicine
المؤلف
Abd El Motaleb.Mohammed Abd Elzaher
هيئة الاعداد
باحث / محمد عبدالظاهر عبد المطلب
مشرف / أ.د / محسن عبدالكريم فضاله
مشرف / أ.د / هاني عبدالمعبود متولي
مشرف / د / تامر شحات هيكل
الموضوع
Background : Considering the impact of obesity on mortality and morbidity after coronary artery bypass graft surgery (CABG), we had to investigate the association between central obesity and the body mass index (BMI) and the post-CABG mortality and morbidity.<br>METHODS : 98 patients with multi-vessel CAD and candidate for CABG were included in the study, and divided into two groups &#103;&#114;&#111;&#117;&#112; I: 53 patients with BMI over 30.&#103;&#114;&#111;&#117;&#112; II: 45 patients with BMI under 30. The primary end point was wound infection and mediastinitis. Secondary end points included mortality, prolonged ICU and hospital stay, stroke,renal and hepatic impairment<br>RESULTS : Total of 98 patients (36 female) with amean age 54+6.5.&#103;&#114;&#111;&#117;&#112; 1(53 patients) with BMI more than 30 and group2 (45 patients) with BMI under 30.wound infection ,mediastinitis, intensive care unit (ICU ) and in-hospital stay were significantly increased in patients with BMI ≥ 30 . <br>CONCLUSION: Obesity was associated with wound infection and mediastinitis more than non-obese patients This lead to long ICU and in-hospital stay.And not associated with other morbidity or mortality . Overweight Patients
تاريخ النشر
2018
عدد الصفحات
136 P.
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
1/1/2018
مكان الإجازة
جامعة عين شمس - كلية الطب - جراحة القلب والصدر
الفهرس
Only 14 pages are availabe for public view

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Abstract

Background : Considering the impact of obesity on mortality and morbidity after coronary artery bypass graft surgery (CABG), we had to investigate the association between central obesity and the body mass index (BMI) and the post-CABG mortality and morbidity.
METHODS : 98 patients with multi-vessel CAD and candidate for CABG were included in the study, and divided into two groups group I: 53 patients with BMI over 30.group II: 45 patients with BMI under 30. The primary end point was wound infection and mediastinitis. Secondary end points included mortality, prolonged ICU and hospital stay, stroke,renal and hepatic impairment
RESULTS : Total of 98 patients (36 female) with amean age 54+6.5.group 1(53 patients) with BMI more than 30 and group2 (45 patients) with BMI under 30.wound infection ,mediastinitis, intensive care unit (ICU ) and in-hospital stay were significantly increased in patients with BMI ≥ 30 .
CONCLUSION: Obesity was associated with wound infection and mediastinitis more than non-obese patients This lead to long ICU and in-hospital stay.And not associated with other morbidity or mortality .