Changes in body mass index and late postoperative outcomes in elderly coronary bypass grafting patients: a follow-up study.
The purpose of this study was to describe the extent to which late postoperative health outcomes vary as a function of change in body mass index (BMI) in per-sons > or = 65 years of age undergoing elective coronary artery bypass grafting (CABG). The mean age of the 90 persons in the original sample was 72.27 (+/-4.85) years. At follow-up x = 18.73, s = 2.56 months postsurgery), 90% (n = 79 alive, n = 2 deceased, proxy completed interview) were contacted; 73% (n = 59)completed the telephone interview; and 9% (n = 8) were alive but lost to follow-up. BMI (kg/m(2)) was calculated from self-reported weight at follow-up. Out-comes included the Physical Component Summary(PCS) scale of the SF-36 Health Survey and readmission data. The (_)x (s) for BMI at preoperative, postoperative, postdischarge, and follow-up were 28.1 (4.9) kg/m(2), 28.76 (4.9) kg/m(2), 27.11 (4.8) kg/m(2), and 27.95(4.7) kg/m(2), respectively. BMI changed over time, P <0.05. Those who were readmitted lost more weight between preoperative and postdischarge than those who were not readmitted ((_)f BMI = -2.26 vs. (_)x BMI =-1.35), t = 2.17, df = 27.05, P = 0.04. Those who lost less weight between preoperative and postdischarge were less likely to be readmitted, X2 = 5.755 (1), P =0.02, with 25% sensitivity and 92% specificity. The (_)x(s(x)(-)) for PCS at preoperative, postdischarge, and follow-up were 36.93 (1.62), 35.72 (1.27), and 42.26 (1.45), respectively, reflecting change over time, F =11.43 (2), P < 0.001. At follow-up, older elective CABG patients do not appear to regain weight lost between preoperative and postdischarge; however,self-reported physical health is improved. Also, initial weight loss is related to readmissions.
DiMaria-Ghalili
Rose Ann
RA
West Virginia University, School of Nursing, Charleston, WV 25304, USA. rdimaria@hsc.wvu.edu
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D015992:Body Mass Index; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D017558:Elective Surgical Procedures; D005260:Female; D005500:Follow-Up Studies; D015577:Geriatric Assessment; D006304:Health Status; D006801:Humans; D008297:Male; D015596:Nutrition Assessment; D009752:Nutritional Status; D010149:Postoperative Pain / Q000175:diagnosis / Q000209:etiology; D010359:Patient Readmission / Q000706:statistics & numerical data*; D011237:Predictive Value of Tests; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires; D013997:Time Factors; D015431:Weight Loss