Association between obesity and postoperative atrial fibrillation in patients undergoing cardiac operations: A systematic review and meta-analysis

Adrian V. Hernandez; Roop Kaw; Vinay Pasupuleti; Pouya Bina; John P.A. Ioannidis; Hector Bueno; Eric Boersma; Marc Gillinov

doi:10.1016/j.athoracsur.2013.04.029

Association between obesity and postoperative atrial fibrillation in patients undergoing cardiac operations: A systematic review and meta-analysis

Adrian V. Hernandez
, Roop Kaw
, Vinay Pasupuleti
, Pouya Bina
, John P.A. Ioannidis
, Hector Bueno
, Eric Boersma
, Marc Gillinov

Faculty of Health Sciences

Cleveland Clinic Foundation
Stanford University
Hospital General Universitario Gregorio Marañon
Erasmus University Rotterdam

Research output: Contribution to journal › Review article › peer-review

56 Scopus citations

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.

Original language	English
Pages (from-to)	1104-1116
Number of pages	13
Journal	Annals of Thoracic Surgery
Volume	96
Issue number	3
DOIs	https://doi.org/10.1016/j.athoracsur.2013.04.029
State	Published - Sep 2013

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title = "Association between obesity and postoperative atrial fibrillation in patients undergoing cardiac operations: A systematic review and meta-analysis",

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.",

author = "Hernandez, \{Adrian V.\} and Roop Kaw and Vinay Pasupuleti and Pouya Bina and Ioannidis, \{John P.A.\} and Hector Bueno and Eric Boersma and Marc Gillinov",

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AU - Hernandez, Adrian V.

AU - Kaw, Roop

AU - Pasupuleti, Vinay

AU - Bina, Pouya

AU - Ioannidis, John P.A.

AU - Bueno, Hector

AU - Boersma, Eric

AU - Gillinov, Marc

PY - 2013/9

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N2 - 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.

AB - 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.

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M3 - Artículo de revisión

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AN - SCOPUS:84883237279

SN - 0003-4975

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EP - 1116

JO - Annals of Thoracic Surgery

JF - Annals of Thoracic Surgery

IS - 3

ER -

Association between obesity and postoperative atrial fibrillation in patients undergoing cardiac operations: A systematic review and meta-analysis

Abstract

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