The Relation Between Obesity and Mortality in Postcardiotomy Venoarterial Membrane Oxygenation
Issued Date
2023-01-01
Resource Type
ISSN
00034975
eISSN
15526259
Scopus ID
2-s2.0-85153795282
Pubmed ID
37015310
Journal Title
Annals of Thoracic Surgery
Rights Holder(s)
SCOPUS
Bibliographic Citation
Annals of Thoracic Surgery (2023)
Suggested Citation
Heuts S., Mariani S., van Bussel B.C.T., Boeken U., Samalavicius R., Bounader K., Hou X., Bunge J.J.H., Sriranjan K., Wiedemann D., Saeed D., Pozzi M., Loforte A., Salazar L., Meyns B., Mazzeffi M.A., Matteucci S., Sponga S., Sorokin V., Russo C., Formica F., Sakiyalak P., Fiore A., Camboni D., Raffa G.M., Diaz R., Wang I.w., Jung J.S., Belohlavek J., Pellegrino V., Bianchi G., Pettinari M., Barbone A., Garcia J.P., Shekar K., Whitman G., Lorusso R., Ravaux J., di Mauro M., Schaefer A.K., Conci L., Szalkiewicz P., Khalil J., Lehmann S., Obadia J.F., Kalampokas N., Flecher E., Reis Miranda D.D., Buscher H., Herr D., Vedadi N., Di Eusanio M., Maclaren G., Ramanathan R., Costetti A., Schmid C., Castillo R., Mikulenka V., Solinas M. The Relation Between Obesity and Mortality in Postcardiotomy Venoarterial Membrane Oxygenation. Annals of Thoracic Surgery (2023). doi:10.1016/j.athoracsur.2023.03.025 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/82494
Title
The Relation Between Obesity and Mortality in Postcardiotomy Venoarterial Membrane Oxygenation
Author(s)
Heuts S.
Mariani S.
van Bussel B.C.T.
Boeken U.
Samalavicius R.
Bounader K.
Hou X.
Bunge J.J.H.
Sriranjan K.
Wiedemann D.
Saeed D.
Pozzi M.
Loforte A.
Salazar L.
Meyns B.
Mazzeffi M.A.
Matteucci S.
Sponga S.
Sorokin V.
Russo C.
Formica F.
Sakiyalak P.
Fiore A.
Camboni D.
Raffa G.M.
Diaz R.
Wang I.w.
Jung J.S.
Belohlavek J.
Pellegrino V.
Bianchi G.
Pettinari M.
Barbone A.
Garcia J.P.
Shekar K.
Whitman G.
Lorusso R.
Ravaux J.
di Mauro M.
Schaefer A.K.
Conci L.
Szalkiewicz P.
Khalil J.
Lehmann S.
Obadia J.F.
Kalampokas N.
Flecher E.
Reis Miranda D.D.
Buscher H.
Herr D.
Vedadi N.
Di Eusanio M.
Maclaren G.
Ramanathan R.
Costetti A.
Schmid C.
Castillo R.
Mikulenka V.
Solinas M.
Mariani S.
van Bussel B.C.T.
Boeken U.
Samalavicius R.
Bounader K.
Hou X.
Bunge J.J.H.
Sriranjan K.
Wiedemann D.
Saeed D.
Pozzi M.
Loforte A.
Salazar L.
Meyns B.
Mazzeffi M.A.
Matteucci S.
Sponga S.
Sorokin V.
Russo C.
Formica F.
Sakiyalak P.
Fiore A.
Camboni D.
Raffa G.M.
Diaz R.
Wang I.w.
Jung J.S.
Belohlavek J.
Pellegrino V.
Bianchi G.
Pettinari M.
Barbone A.
Garcia J.P.
Shekar K.
Whitman G.
Lorusso R.
Ravaux J.
di Mauro M.
Schaefer A.K.
Conci L.
Szalkiewicz P.
Khalil J.
Lehmann S.
Obadia J.F.
Kalampokas N.
Flecher E.
Reis Miranda D.D.
Buscher H.
Herr D.
Vedadi N.
Di Eusanio M.
Maclaren G.
Ramanathan R.
Costetti A.
Schmid C.
Castillo R.
Mikulenka V.
Solinas M.
Author's Affiliation
Siriraj Hospital
Departement Cardiovasculaire Wetenschappen
Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione
National University Health System
Azienda Ospedaliera Universitaria Ospedali Riuniti, Ancona
Fundación Cardiovascular de Colombia
Beijing Anzhen Hospital, Capital Medical University
CARIM School for Cardiovascular Disease
Ziekenhuis Oost-Limburg
Vilniaus Universitetas
Všeobecná Fakultní Nemocnice v Praze
Erasmus MC
Korea University College of Medicine
UNSW Sydney
Hôpital Pontchaillou
St. Vincent's Hospital Sydney
Heinrich-Heine-Universität Düsseldorf
Humanitas Research Hospital
Indiana University-Purdue University Indianapolis
IRCCS Azienda Ospedaliero-Universitaria di Bologna
Hôpital Henri Mondor
Herzzentrum Leipzig
Klinikum der Universität Regensburg und Medizinische Fakultät
Universiteit Maastricht
Clinica Las Condes
Asst Grande Ospedale Metropolitano Niguarda
Policlinico Universitario, Udine
University of Maryland, Baltimore (UMB)
Università degli Studi di Milano-Bicocca
Medizinische Universität Wien
The Alfred
Azienda Ospedaliero - Universitaria di Parma
Memorial Healthcare System
Università di Parma
The Prince Charles Hospital
The Johns Hopkins Hospital
Fondazione Toscana "G.Monasterio" - Ospedale Del Cuore
Louis Pradel Cardiologic Hospital
Departement Cardiovasculaire Wetenschappen
Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione
National University Health System
Azienda Ospedaliera Universitaria Ospedali Riuniti, Ancona
Fundación Cardiovascular de Colombia
Beijing Anzhen Hospital, Capital Medical University
CARIM School for Cardiovascular Disease
Ziekenhuis Oost-Limburg
Vilniaus Universitetas
Všeobecná Fakultní Nemocnice v Praze
Erasmus MC
Korea University College of Medicine
UNSW Sydney
Hôpital Pontchaillou
St. Vincent's Hospital Sydney
Heinrich-Heine-Universität Düsseldorf
Humanitas Research Hospital
Indiana University-Purdue University Indianapolis
IRCCS Azienda Ospedaliero-Universitaria di Bologna
Hôpital Henri Mondor
Herzzentrum Leipzig
Klinikum der Universität Regensburg und Medizinische Fakultät
Universiteit Maastricht
Clinica Las Condes
Asst Grande Ospedale Metropolitano Niguarda
Policlinico Universitario, Udine
University of Maryland, Baltimore (UMB)
Università degli Studi di Milano-Bicocca
Medizinische Universität Wien
The Alfred
Azienda Ospedaliero - Universitaria di Parma
Memorial Healthcare System
Università di Parma
The Prince Charles Hospital
The Johns Hopkins Hospital
Fondazione Toscana "G.Monasterio" - Ospedale Del Cuore
Louis Pradel Cardiologic Hospital
Other Contributor(s)
Abstract
Background: Obesity is an important health problem in cardiac surgery and among patients requiring postcardiotomy venoarterial extracorporeal membrane oxygenation (V-A ECMO). Still, whether these patients are at risk for unfavorable outcomes after postcardiotomy V-A ECMO remains unclear. The current study evaluated the association between body mass index (BMI) and in-hospital outcomes in this setting. Methods: The Post-cardiotomy Extracorporeal Life Support (PELS-1) study is an international, multicenter study. Patients requiring postcardiotomy V-A ECMO in 36 centers from 16 countries between 2000 and 2020 were included. Patients were divided in 6 BMI categories (underweight, normal weight, overweight, class I, class II, and class III obesity) according to international recommendations. Primary outcome was in-hospital mortality, and secondary outcomes included major adverse events. Mixed logistic regression models were applied to evaluate associations between BMI and mortality. Results: The study cohort included 2046 patients (median age, 65 years; 838 women [41.0%]). In-hospital mortality was 60.3%, without statistically significant differences among BMI classes for in-hospital mortality (P = .225) or major adverse events (P = .126). The crude association between BMI and in-hospital mortality was not statistically significant after adjustment for comorbidities and intraoperative variables (class I: odds ratio [OR], 1.21; 95% CI, 0.88-1.65; class II: OR, 1.45; 95% CI, 0.86-2.45; class III: OR, 1.43; 95% CI, 0.62-3.33), which was confirmed in multiple sensitivity analyses. Conclusions: BMI is not associated to in-hospital outcomes after adjustment for confounders in patients undergoing postcardiotomy V-A ECMO. Therefore, BMI itself should not be incorporated in the risk stratification for postcardiotomy V-A ECMO.