机构:[1]Beijing Aortic Disease Center, Beijing Anzhen Hospital, Beijing, Capital Medical University, Beijing, China临床科室心脏外科中心首都医科大学附属安贞医院[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
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.
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.
推荐引用方式(GB/T 7714):
Zhang Kefeng,Wang Junjie,Yang Yan,et al.Adiposity in relation to readmission and all-cause mortality following coronary artery bypass grafting: A systematic review and meta-analysis[J].OBESITY REVIEWS.2019,20(8):1159-1183.doi:10.1111/obr.12855.
APA:
Zhang, Kefeng,Wang, Junjie,Yang, Yan&An, Ruopeng.(2019).Adiposity in relation to readmission and all-cause mortality following coronary artery bypass grafting: A systematic review and meta-analysis.OBESITY REVIEWS,20,(8)
MLA:
Zhang, Kefeng,et al."Adiposity in relation to readmission and all-cause mortality following coronary artery bypass grafting: A systematic review and meta-analysis".OBESITY REVIEWS 20..8(2019):1159-1183