Effect of BMI on Postoperative Outcome, after Off-Pump CABG, A Prospective Observational Study

Musfeq-Us-Saleheen Khan1, Saikat Das Gupta2*, Ambia Afza3, Bappy Basak4, Md Kamrul Hasan5 and Md Quamrul Islam Talukder1

1Department of Cardiac Surgery, National Heart Foundation Hospital & Research Institute, Bangladesh
2Department of Cardiac Surgery, Square Hospitals Ltd, Bangladesh
3Department of Anesthesia, Delta Medical College & Hospital, Bangladesh
4Department of Cardiothoracic Surgery, Liverpool Heart and Chest Hospital, UK
5Department of Cardiac Surgery, National Institute of Cardio Vascular Diseases, Bangladesh

^*Correspondance to: Saikat Das Gupta 

 PDF  Full Text DOI: 10.25107/2474-1647.3299

Abstract

Background: Obesity and its complications are global health concerns with rising interests, and in Bangladesh, the scenario is not different. This study was designed to analyze the effect of BMI on postoperative outcomes in patients who underwent Off-Pump Coronary Artery Bypass (OPCAB) graft surgery. Methods: This prospective observational study was conducted from September 2017 to August 2018 in the department of cardiac surgery, NICVD & 90 patients were divided into two groups. 43 patients in group A, with BMI ≥ 25 kg/m2 and 47 patients in group B, with BMI<25 kg/m2. Results: In between groups, homogenous distribution noted in terms of age and sex. Pre-operative risk factors, such as hypertension, dyslipidemia, and sternal wound infection, harvest site infection along with post-operative AF, were significantly higher in group A in comparison to group B. Conclusion: Obese patients undergoing OPCAB surgery should undergo maximum care. Meticulous tissue handling during OPCAB surgery in obese patients is needed to avoid or minimize sternal, and harvest site wound infection.

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Cite the article

Musfeq-Us-Saleheen Khan, Gupta SD, Afza A, Basak B, Md Kamrul Hasan, Md Quamrul Islam Talukder. Effect of BMI on Postoperative Outcome, after Off-Pump CABG, A Prospective Observational Study. Clin Surg. 2021; 6: 3299.