Trends in early postoperative major adverse cardiovascular and cerebrovascular events associated with bariatric surgery : an analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program data registry
Copyright © 2021 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved..
BACKGROUND: The population undergoing bariatric surgery (BaS) has many cardiovascular risk factors that can lead to significant perioperative cardiovascular morbidity.
OBJECTIVES: We aimed to examine trends in the incidence of major adverse cardiovascular and cerebrovascular events (MACCE) after BaS.
SETTING: Academic Hospital, United States METHODS: We performed a retrospective analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) data registry for patients aged ≥18 years undergoing laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) from 2015 to 2019. Data on demographics, co-morbidities, and type of procedure were collected. MACCE was defined as a composite variable including perioperative acute myocardial infarction (AMI), cardiac arrest requiring cardiopulmonary resuscitation, acute stroke, and all-cause mortality. We utilized the Cochrane-Armitage and Jonckheere-Terpstra tests to assess for significant trend changes throughout the years.
RESULTS: A total of 752,722 patients were included in our analysis (LSG = 73.2%, LRYGB = 26.8%). Postoperative MACCE occurred in 1058 patients (.14%), and was more frequent in patients undergoing LRYGB (.20%). The frequency of MACCE declined from .17% to .14% (P = .053), driven by a decline in the frequency of AMI (.04% to .02%, P = .002), cardiac arrest (.05% to .04%, P = .897), and all-cause death (.11% to .08%, P = .040), but with an increase in perioperative stroke (.01% to .02%, P = .057).
CONCLUSION: The overall risk of MACCE after BaS is .14% and has been declining in the last 5 years. This trend is likely multifactorial and further analysis is necessary to provide a detailed explanation.
| Errataetall: |
CommentIn: Surg Obes Relat Dis. 2021 Dec;17(12):2039. - PMID 34656454 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:17 |
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| Enthalten in: |
Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery - 17(2021), 12 vom: 29. Dez., Seite 2033-2038 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Valera, Roberto J [VerfasserIn] |
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| Links: |
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| Themen: |
Acute myocardial infarction |
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| Anmerkungen: |
Date Completed 28.03.2022 Date Revised 01.04.2022 published: Print-Electronic CommentIn: Surg Obes Relat Dis. 2021 Dec;17(12):2039. - PMID 34656454 Citation Status MEDLINE |
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| doi: |
10.1016/j.soard.2021.08.023 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM331421453 |
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| 100 | 1 | |a Valera, Roberto J |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Trends in early postoperative major adverse cardiovascular and cerebrovascular events associated with bariatric surgery |b an analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program data registry |
| 264 | 1 | |c 2021 | |
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| 500 | |a Date Completed 28.03.2022 | ||
| 500 | |a Date Revised 01.04.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: Surg Obes Relat Dis. 2021 Dec;17(12):2039. - PMID 34656454 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2021 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a BACKGROUND: The population undergoing bariatric surgery (BaS) has many cardiovascular risk factors that can lead to significant perioperative cardiovascular morbidity | ||
| 520 | |a OBJECTIVES: We aimed to examine trends in the incidence of major adverse cardiovascular and cerebrovascular events (MACCE) after BaS | ||
| 520 | |a SETTING: Academic Hospital, United States METHODS: We performed a retrospective analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) data registry for patients aged ≥18 years undergoing laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) from 2015 to 2019. Data on demographics, co-morbidities, and type of procedure were collected. MACCE was defined as a composite variable including perioperative acute myocardial infarction (AMI), cardiac arrest requiring cardiopulmonary resuscitation, acute stroke, and all-cause mortality. We utilized the Cochrane-Armitage and Jonckheere-Terpstra tests to assess for significant trend changes throughout the years | ||
| 520 | |a RESULTS: A total of 752,722 patients were included in our analysis (LSG = 73.2%, LRYGB = 26.8%). Postoperative MACCE occurred in 1058 patients (.14%), and was more frequent in patients undergoing LRYGB (.20%). The frequency of MACCE declined from .17% to .14% (P = .053), driven by a decline in the frequency of AMI (.04% to .02%, P = .002), cardiac arrest (.05% to .04%, P = .897), and all-cause death (.11% to .08%, P = .040), but with an increase in perioperative stroke (.01% to .02%, P = .057) | ||
| 520 | |a CONCLUSION: The overall risk of MACCE after BaS is .14% and has been declining in the last 5 years. This trend is likely multifactorial and further analysis is necessary to provide a detailed explanation | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Acute myocardial infarction | |
| 650 | 4 | |a Bariatric surgery | |
| 650 | 4 | |a Cerebrovascular accident | |
| 650 | 4 | |a Major adverse cardiovascular and cerebrovascular event | |
| 650 | 4 | |a Stroke | |
| 700 | 1 | |a Botero-Fonnegra, Cristina |e verfasserin |4 aut | |
| 700 | 1 | |a Sarmiento-Cobos, Mauricio |e verfasserin |4 aut | |
| 700 | 1 | |a Rivera, Carlos E |e verfasserin |4 aut | |
| 700 | 1 | |a Montorfano, Lisandro |e verfasserin |4 aut | |
| 700 | 1 | |a Aleman, Rene |e verfasserin |4 aut | |
| 700 | 1 | |a Alonso, Mileydis |e verfasserin |4 aut | |
| 700 | 1 | |a Lo Menzo, Emanuele |e verfasserin |4 aut | |
| 700 | 1 | |a Szomstein, Samuel |e verfasserin |4 aut | |
| 700 | 1 | |a Rosenthal, Raul J |e verfasserin |4 aut | |
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