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• W2537644294 abstract "The obesity epidemic is associated with a rise in coronary surgeries because obesity is a risk factor for coronary artery disease. Bariatric surgery is linked to improvement in cardiovascular co-morbidities and left ventricular function. No studies have investigated survival advantage in postoperative bariatric patients after coronary surgery.To determine if there is a benefit after coronary surgery in patients who have previously undergone bariatric surgery.National Inpatient Sample.We performed a retrospective, cross-sectional analysis of the National Inpatient Sample database from 2003 to 2010. We selected bariatric surgical patients who later underwent coronary surgery (n = 257). A comparison of postoperative complications and mortality after coronary surgery were compared with controls (n = 1442) using χ2 tests, linear regression analysis, and multivariate logistical regression models.A subset population was identified as having undergone coronary surgery (n = 1699); of this population, 257 patients had previously undergone bariatric surgery. They were compared with 1442 controls. The majority was male (67.2%), white (82.6%), and treated in an urban environment (96.8%). Patients with bariatric surgery assumed the risk of postoperative complications after coronary surgery that was associated with their new body mass index (BMI) (BMI<25 kg/m2: odds ratio (OR) 1.01, 95% CI .76-1.34, P = .94; BMI 25 to<35 kg/m2: OR .20, 95% CI .02-2.16, P = .19; BMI≥35 kg/m2: OR>999.9, 95% CI .18 to>999.9, P = .07). Length of stay was significantly longer in postbariatric patients (BMI<25, OR 1.62, 95% CI 1.14-2.30, P = .007).Postoperative bariatric patients have a return to baseline risk of morbidity and mortality after coronary surgery." @default.
• W2537644294 created "2016-10-28" @default.
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• W2537644294 date "2017-06-01" @default.
• W2537644294 modified "2023-10-16" @default.
• W2537644294 title "No more broken hearts: weight loss after bariatric surgery returns patients’ postoperative risk to baseline following coronary surgery" @default.
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• W2537644294 doi "https://doi.org/10.1016/j.soard.2016.12.008" @default.
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