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Category: Volume 09 Issue 02 February 2021
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Title: Relationship of Obesity with Early Post-operative Outcomes Following Coronary Artery Bypass Grafting - A Prospective Study

Authors: Dr Soumyaranjan Das, Dr Ahamed Ali, Dr Debmalya Saha, Dr Sunita, Dr Satyajit Samal, Dr Girish G, Prof Dr Mohammad Abid Geelani

 DOI: https://dx.doi.org/10.18535/jmscr/v9i2.03

Abstract

The global burden of obesity is on a rising trend and is a major aetiopathogenic factor for non-communicable diseases, prevalence of obesity-related complications including cardiovascular risk factors such as diabetes, hypertension and dyslipidemia. But numerous studies have documented an obesity paradox in which overweight and obese people with cardiovascular disease have a better prognosis compared with patients with normal body mass index (BMI). This prospective observational study aims to evaluate the effects of obesity on early post-operative outcomes after coronary artery bypass grafting (CABG). This is a prospective study, which includes total 100 patients of multi-vessel CAD who has undergone elective CABG. These patients have been divided in two groups: Group I with 54 patients having BMI> 30 and Group II with 46 patients having BMI< 30. Aim- This study aims to evaluate the effects of obesity on the early post-operative outcomes following CABG like post-operative ventilation time, duration of ICU and hospital stay, improvement in ejection fraction, wound infection, CVA, renal impairment, hepatic insufficiency and mortality. Result: Our study demonstrated a significantly prolonged duration of hospital stay and increased wound infection rates in obese patients, but no statistically significant difference in other parameters between the two groups.

Keywords: BMI- Body Mass Index, CABG- Coronary Artery Bypass Grafting, CAD- Coronary Artery Disease, LIMA- Left Internal Mammary Artery, DM- Diabetes Mellitus, EDD- End Diastolic Dimension, EF- Ejection Fraction, ESD- End Systolic Dimension, HTN- Hypertension, IABP- Intra-Aortic Balloon Pump.

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Corresponding Author

Dr Soumyaranjan Das

Senior Resident, Mch, Department of Cardio-thoracic and Vascular Surgery, G. B Pant Institute of Post-graduate Medical Education and Research, New Delhi, India