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December 3, 2010Anesthesia & Analgesia

The Association of Body Mass Index to Postoperative Outcomes in Elderly Vascular Surgery Patients

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Why the study?

Does BMI class predict 30-day mortality and morbidity in elderly patients undergoing vascular surgery?

Population

25,337 patients aged ≥ 65 years undergoing vascular surgery from 2005 to 2007

Comparison

Different BMI classes vs Comparison across BMI classes

Design

Cohort

Follow-up

30-day

Authors

ONOlubukola O. NafiuSKSachin KheterpalRMRuairi Moulding

Discussion

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Overview

Underweight elderly vascular surgery patients had highest mortality; leaves open whether BMI informs risk stratification or targeted interventions.

Structured PICO

Does BMI class predict 30-day mortality and morbidity in elderly patients undergoing vascular surgery?

P
Population
25,337 patients aged ≥ 65 years undergoing vascular surgery from 2005 to 2007
I
Intervention
Different BMI classes (underweight, normal, overweight, obese class I, obese class II, obese class III)
C
Comparator
Comparison across BMI classes
O
Outcome
30-day mortality and major postoperative morbidityhard clinical

In elderly vascular surgery patients, increased BMI alone is not a major predictor of 30-day mortality; instead, a reversed J-curve relationship exists with the highest mortality observed in underweight patients.

Cite This Study

Nafiu et al. (2010) studied this question.

synapsesocial.com/papers/6a1a29ff0fc4dc4e42436b7dhttps://doi.org/10.1213/ane.0b013e3181fcc51a
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Towards a Better Understanding of Body Mass Index and Patient Outcomes2010 · 5 citations
  2. 2Body Mass Index and Postsurgical Outcomes in Older Adults2025 · 21 citations
  3. 3The Effect of Body Mass Index on Perioperative Outcomes After Major Surgery: Results from the National Surgical Quality Improvement Program (ACS‐NSQIP) 2005–20112015 · 97 citations
  4. 4Body mass index and post-operative outcomes in older adults after major surgery2026
  5. 5The Relationship Between Body Mass Index and 30-Day Mortality Risk, by Principal Surgical Procedure2011 · 31 citations