Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2874620 | The Annals of Thoracic Surgery | 2013 | 13 Pages |
Abstract
In a systematic review and random-effects meta-analysis, we evaluated whether obesity is associated with postoperative atrial fibrillation (POAF) in patients undergoing cardiac operations. We selected 18 observational studies until December 2011 that excluded patients with preoperative AF (n = 36,147). Obese patients had a modest higher risk of POAF compared with nonobese (odds ratio, 1.12; 95% confidence interval, 1.04 to 1.21; p = 0.002). The association between obesity and POAF did not vary substantially by type of cardiac operation, study design, or year of publication. POAF was significantly associated with a higher risk of stroke, respiratory failure, and operative death.
Keywords
PRISMARBCACECK-MBM-HHDLLVEFECCFFPIABPPVDCardiopulmonary bypass timeChFSPBRed blood cellsARBsBSAMyocardial infarctionAngiotensin-converting enzymePreferred Reporting Items for Systematic Reviews and Meta-AnalysesPolyunsaturated fatty acidPUFAFinite elementstandard deviationintensive care unitICUCerebrovascular diseasecoronary artery diseasePeripheral vascular diseaseCOPDChronic obstructive pulmonary diseasecoronary artery bypass graftingCABGstandard errorNot availableDiabetes mellitusCVDbody surface areabody mass indexBMICADconfidence intervalAtrial fibrillationpostoperative atrial fibrillationhigh density lipoproteinlow density lipoproteinLDLMantel-HaenszelMeta-analysis Of Observational Studies in Epidemiologyangiotensin II receptor blockerscongestive heart failureRespiratory failureodds ratioProspective cohortRetrospective cohortPOAFfresh frozen plasmaintraaortic balloon pumpleft ventricular ejection fractionejection fractionextracorporeal circulationMoose
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Authors
Adrian V. MD, PhD, Roop MD, Vinay MD, PhD, Pouya MD, John P.A. MD, DSc, Hector MD, PhD, Eric PhD, Marc MD, Cardiovascular Meta-Analyses Research Group Cardiovascular Meta-Analyses Research Group,