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Adiposity in relation to readmission and all-cause mortality following coronary artery bypass grafting: A systematic review and meta-analysis

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机构: [1]Beijing Aortic Disease Center, Beijing Anzhen Hospital, Beijing, Capital Medical University, Beijing, China [2]Department of Physical Education, Dalian University of Technology, Dalian, Liaoning, China [3]Cabot Microelectronics, Aurora, Illinois, USA [4]Guangzhou Sport University, Guangzhou, Guangdong, China [5]Department of Kinesiology and Community Health, University of Illinois at Urbana‐ Champaign, Champaign, Illinois, USA [6]Brown School, Washington University, St. Louis, Missouri, USA
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关键词: adiposity all-cause mortality coronary artery bypass grafting meta-analysis readmission

摘要:
This study systemically reviewed evidence linking adiposity to readmission and all-cause mortality in post-coronary artery bypass grafting (CABG) patients. Keyword/reference search was performed in PubMed, Web of Science, CINAHL, and Cochrane Library for articles published before June, 2018. Eligibility criteria included study designs: experimental/observational studies; subjects: adult patients undergoing CABG; and outcomes: hospital/clinic readmissions, and short-term (<= 30 days) and mid-to-long-term (>30 days) all-cause mortality. Seventy-two studies were identified. Meta-analysis showed that the odds of post-CABG readmission among patients with overweight was 30% lower than their normal-weight counterparts and the odds of mid-to-long-term post-CABG mortality among patients with overweight were 20% lower than their normal-weight counterparts. In contrast, no difference in post-CABG readmission rate was found between patients with obesity and their nonobese counterparts; no difference in short-term or in-hospital post-CABG mortality rate was found between patients with overweight or obesity and their normal-weight counterparts; and no difference in mid-to-long-term post-CABG mortality rate was found between patients with obesity and their normal-weight counterparts. In conclusion, patients with overweight but not obesity had a lower readmission and mid-to-long-term mortality rate following CABG relative to their normal-weight counterparts. Preoperative weight loss may not be advised to patients with overweight undergoing CABG.

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出版当年[2018]版
大类 | 1 区 医学
小类 | 2 区 内分泌学与代谢
最新[2023]版
大类 | 2 区 医学
小类 | 2 区 内分泌学与代谢
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出版当年[2017]版:
Q1 ENDOCRINOLOGY & METABOLISM
最新[2023]版:
Q1 ENDOCRINOLOGY & METABOLISM

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

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第一作者机构: [1]Beijing Aortic Disease Center, Beijing Anzhen Hospital, Beijing, Capital Medical University, Beijing, China
通讯作者:
通讯机构: [4]Guangzhou Sport University, Guangzhou, Guangdong, China [5]Department of Kinesiology and Community Health, University of Illinois at Urbana‐ Champaign, Champaign, Illinois, USA [6]Brown School, Washington University, St. Louis, Missouri, USA [*1]Department of Kinesiology and Community Health, University of Illinois at Urbana‐Champaign, 1206 South 4 Street, Champaign, IL 61820, USA.
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