The impact of body mass index on mortality and morbidity in patients undergoing isolated valve surgery

dc.authoridYuksel, Volkan/0000-0001-9518-2588
dc.authorwosidgur, ozcan/AAA-8847-2022
dc.authorwosidGurkan, Selami/AAA-9006-2022
dc.contributor.authorGur, Ozcan
dc.contributor.authorGurkan, Selami
dc.contributor.authorGur, Demet Ozkaramanli
dc.contributor.authorYuksel, Volkan
dc.contributor.authorHuseyin, Serhat
dc.contributor.authorIscan, Sahin
dc.contributor.authorCanbaz, Suat
dc.date.accessioned2024-06-12T10:54:55Z
dc.date.available2024-06-12T10:54:55Z
dc.date.issued2013
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: This study aims to investigate the impact of body mass index (BMI) on early mortality and morbidity in patients undergoing isolated valve surgery. Methods: Between January 2004 and December 2012, medical records of 196 patients (115 males, 81 females; mean age 62.0 years; range 28 to 81 years) who underwent isolated valve surgery in our clinic with prospective follow-up data were retrospectively analyzed. The patients were divided into three groups according to their BMI values. Group 1 consisted of patients with a BMI <25 kg/m(2), group 2 consisted of patients with a BMI of >= 25 kg/m(2) to <30 kg/m(2) and group 3 consisted of patients with a BMI of >= 30 kg/m(2). Obesity was defined as a BMI of >= 30 kg/m(2). Groups were compared in terms of morbidity parameters including bleeding, respiratory, renal, neurological and sternal complications and in-hospital mortality. Results: Increased BMI was associated with increased diabetes prevalence and use of bronchodilator. According to postoperative data, there was no significant difference in duration of extubation, postoperative renal functions, neurological complications such as stroke and transient ischemic attack, length of intensive care unit or hospital stay among three groups. Obese patients in group 3 had significantly higher rates of respiratory complications including re-intubation (p=0.011) and postoperative bronchodilator need (p=0.034), sternal dehiscence and sternal infections (p=0.023) and in-hospital mortality (p=0.021). The bleeding complications were significantly higher in group 1 (p=0.004). Conclusion: Our study results suggest that obesity results in increased 30-day mortality and several morbidity parameters such as respiratory and sternal complications in patients undergoing isolated valve surgery.en_US
dc.identifier.doi10.5606/tgkdc.dergisi.2013.8327
dc.identifier.endpage929en_US
dc.identifier.issn1301-5680
dc.identifier.issue4en_US
dc.identifier.scopus2-s2.0-84889609650en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage924en_US
dc.identifier.trdizinid151521en_US
dc.identifier.urihttps://doi.org/10.5606/tgkdc.dergisi.2013.8327
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/151521
dc.identifier.urihttps://hdl.handle.net/20.500.14551/19219
dc.identifier.volume21en_US
dc.identifier.wosWOS:000326410100008en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherBaycinar Medical Publ-Baycinar Tibbi Yayinciliken_US
dc.relation.ispartofTurk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal Of Thoracic And Cardiovascular Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBody Mass Indexen_US
dc.subjectIsolated Valve Surgeryen_US
dc.subjectMorbidityen_US
dc.subjectMortalityen_US
dc.subjectArtery-Bypass Surgeryen_US
dc.subjectCardiac-Surgeryen_US
dc.subjectGraft-Surgeryen_US
dc.subjectObesityen_US
dc.subjectRisken_US
dc.subjectOutcomesen_US
dc.titleThe impact of body mass index on mortality and morbidity in patients undergoing isolated valve surgeryen_US
dc.typeArticleen_US

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