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

Kefeng Zhang, Junjie Wang, Yan Yang, Ruopeng An

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1159-1183
Number of pages25
JournalObesity Reviews
Volume20
Issue number8
DOIs
StatePublished - Aug 2019

Fingerprint

Adiposity
Coronary Artery Bypass
Meta-Analysis
Mortality
Weights and Measures
Obesity
Patient Readmission
PubMed
Libraries
Observational Studies
Weight Loss
Research Design

Keywords

  • adiposity
  • all-cause mortality
  • coronary artery bypass grafting
  • meta-analysis
  • readmission

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Public Health, Environmental and Occupational Health

Cite this

Adiposity in relation to readmission and all-cause mortality following coronary artery bypass grafting : A systematic review and meta-analysis. / Zhang, Kefeng; Wang, Junjie; Yang, Yan; An, Ruopeng.

In: Obesity Reviews, Vol. 20, No. 8, 08.2019, p. 1159-1183.

Research output: Contribution to journalArticle

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